OrganizationActive
Stafford Medical PA
NPI 1093052102 · Non-Pharmacy Dispensing Site · Manahawkin, NJ
Stafford Medical PA is a Non-Pharmacy Dispensing Site organization in Manahawkin, NJ (NPI 1093052102).
Provider details
- NPI number
- 1093052102
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx Inc
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp Ops(858) 964-1506
- License
- 25MA066536 (NJ)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
1364 Route 72 W
2
Manahawkin, NJ 08050-2485
Phone: (609) 597-3416
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2013-01-09
- Last updated
- 2013-01-09
Frequently asked questions
- What is Stafford Medical PA's NPI number?
- Stafford Medical PA's National Provider Identifier (NPI) is 1093052102, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stafford Medical PA?
- Stafford Medical PA is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Stafford Medical PA located?
- Stafford Medical PA's practice location on file with NPPES is 1364 Route 72 W, Manahawkin, NJ 08050-2485.
- What is Stafford Medical PA's phone number?
- The practice phone number listed in the NPPES registry for Stafford Medical PA is (609) 597-3416.
- Who is the authorized official for Stafford Medical PA?
- The authorized official listed on Stafford Medical PA's NPPES record is Kenny Heine, Vp Ops. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stafford Medical PA's NPI active?
- Yes — Stafford Medical PA's NPI (1093052102) is active in the NPPES registry as of the last update on 2013-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.