OrganizationActive
Bridgewater Medical Group PA
NPI 1255752044 · Non-Pharmacy Dispensing Site · Bridgewater, NJ
Bridgewater Medical Group PA is a Non-Pharmacy Dispensing Site organization in Bridgewater, NJ (NPI 1255752044).
Provider details
- NPI number
- 1255752044
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp of Operations(858) 964-1506
- License
- 25MB05436000 (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
766 US Highway 202/206
Bridgewater, NJ 08807-1777
Phone: (908) 722-0808
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Other names (DBA / former)
- Doing business as
- Bridgewater Medical Group
Registry dates
- Enumerated
- 2013-12-20
- Last updated
- 2013-12-20
Frequently asked questions
- What is Bridgewater Medical Group PA's NPI number?
- Bridgewater Medical Group PA's National Provider Identifier (NPI) is 1255752044, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bridgewater Medical Group PA?
- Bridgewater Medical Group PA is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Bridgewater Medical Group PA located?
- Bridgewater Medical Group PA's practice location on file with NPPES is 766 US Highway 202/206, Bridgewater, NJ 08807-1777.
- What is Bridgewater Medical Group PA's phone number?
- The practice phone number listed in the NPPES registry for Bridgewater Medical Group PA is (908) 722-0808.
- Who is the authorized official for Bridgewater Medical Group PA?
- The authorized official listed on Bridgewater Medical Group PA'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 Bridgewater Medical Group PA's NPI active?
- Yes — Bridgewater Medical Group PA's NPI (1255752044) is active in the NPPES registry as of the last update on 2013-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.