OrganizationActive
Water Street Physicians
NPI 1063730281 · Non-Pharmacy Dispensing Site · Toms River, NJ
Water Street Physicians is a Non-Pharmacy Dispensing Site organization in Toms River, NJ (NPI 1063730281).
Provider details
- NPI number
- 1063730281
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Sr Director Operations(858) 625-2990
- License
- 25MB02891000 (NJ)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 W Water St
Toms River, NJ 08753-6692
Phone: (732) 349-4030
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2010-05-12
- Last updated
- 2012-10-23
Frequently asked questions
- What is Water Street Physicians's NPI number?
- Water Street Physicians's National Provider Identifier (NPI) is 1063730281, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Water Street Physicians?
- Water Street Physicians is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Water Street Physicians located?
- Water Street Physicians's practice location on file with NPPES is 300 W Water St, Toms River, NJ 08753-6692.
- What is Water Street Physicians's phone number?
- The practice phone number listed in the NPPES registry for Water Street Physicians is (732) 349-4030.
- Who is the authorized official for Water Street Physicians?
- The authorized official listed on Water Street Physicians's NPPES record is Kenny Heine, Sr Director Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Water Street Physicians's NPI active?
- Yes — Water Street Physicians's NPI (1063730281) is active in the NPPES registry as of the last update on 2012-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.