OrganizationActive
Northway Medical Associates PLLC
NPI 1356765689 · Non-Pharmacy Dispensing Site · Fulton, NY
Northway Medical Associates PLLC is a Non-Pharmacy Dispensing Site organization in Fulton, NY (NPI 1356765689).
Provider details
- NPI number
- 1356765689
- 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
- 211928 (NY)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(76/100 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
21 N 2nd St
Fulton, NY 13069-1250
Phone: (315) 598-7105
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Other names (DBA / former)
- Doing business as
- Northway Medical
Registry dates
- Enumerated
- 2014-02-06
- Last updated
- 2014-02-06
Frequently asked questions
- What is Northway Medical Associates PLLC's NPI number?
- Northway Medical Associates PLLC's National Provider Identifier (NPI) is 1356765689, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northway Medical Associates PLLC?
- Northway Medical Associates PLLC is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Northway Medical Associates PLLC located?
- Northway Medical Associates PLLC's practice location on file with NPPES is 21 N 2nd St, Fulton, NY 13069-1250.
- What is Northway Medical Associates PLLC's phone number?
- The practice phone number listed in the NPPES registry for Northway Medical Associates PLLC is (315) 598-7105.
- Who is the authorized official for Northway Medical Associates PLLC?
- The authorized official listed on Northway Medical Associates PLLC'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 Northway Medical Associates PLLC's NPI active?
- Yes — Northway Medical Associates PLLC's NPI (1356765689) is active in the NPPES registry as of the last update on 2014-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.