OrganizationActive
Northern Monmouth County Medical
NPI 1205263431 · Non-Pharmacy Dispensing Site · Matawan, NJ
Northern Monmouth County Medical is a Non-Pharmacy Dispensing Site organization in Matawan, NJ (NPI 1205263431).
Provider details
- NPI number
- 1205263431
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp of Operations(858) 964-1506
- License
- 25MB08392800 (NJ)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
213 Main St
Matawan, NJ 07747-3221
Phone: (732) 566-2363
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Other names (DBA / former)
- Doing business as
- Northern Monmouth County Medical Associates-Matawan Medical Associates
Registry dates
- Enumerated
- 2013-10-02
- Last updated
- 2014-09-10
Frequently asked questions
- What is Northern Monmouth County Medical's NPI number?
- Northern Monmouth County Medical's National Provider Identifier (NPI) is 1205263431, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northern Monmouth County Medical?
- Northern Monmouth County Medical is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Northern Monmouth County Medical located?
- Northern Monmouth County Medical's practice location on file with NPPES is 213 Main St, Matawan, NJ 07747-3221.
- What is Northern Monmouth County Medical's phone number?
- The practice phone number listed in the NPPES registry for Northern Monmouth County Medical is (732) 566-2363.
- Who is the authorized official for Northern Monmouth County Medical?
- The authorized official listed on Northern Monmouth County Medical's NPPES record is Kenny Heine, Vp of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northern Monmouth County Medical's NPI active?
- Yes — Northern Monmouth County Medical's NPI (1205263431) is active in the NPPES registry as of the last update on 2014-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.