OrganizationActive
Monmouth Family Medicine Group, P.A.
NPI 1336280825 · Non-Pharmacy Dispensing Site · Freehold, NJ
Provider details
- NPI number
- 1336280825
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Director of Operations(858) 625-2990
- License
- 25MA03035600 (NJ)
Specialties & taxonomies
Suppliers
Practice location
3499 US Highway 9
Freehold, NJ 07728-3258
Phone: (732) 625-3166
Approximate (ZIP-level) locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2007-02-09
- Last updated
- 2012-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.