OrganizationActive
Annandale Family Practice LLC
NPI 1467793141 · Non-Pharmacy Dispensing Site · Lebanon, NJ
Annandale Family Practice LLC is a Non-Pharmacy Dispensing Site organization in Lebanon, NJ (NPI 1467793141).
Provider details
- NPI number
- 1467793141
- 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
- 25MA07764100 (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
56 Payne Rd
Suite 21
Lebanon, NJ 08833-3262
Phone: (908) 238-0100
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Other names (DBA / former)
- Doing business as
- Annandale Family Practice
Registry dates
- Enumerated
- 2013-03-06
- Last updated
- 2013-03-06
Frequently asked questions
- What is Annandale Family Practice LLC's NPI number?
- Annandale Family Practice LLC's National Provider Identifier (NPI) is 1467793141, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Annandale Family Practice LLC?
- Annandale Family Practice LLC is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Annandale Family Practice LLC located?
- Annandale Family Practice LLC's practice location on file with NPPES is 56 Payne Rd, Lebanon, NJ 08833-3262.
- What is Annandale Family Practice LLC's phone number?
- The practice phone number listed in the NPPES registry for Annandale Family Practice LLC is (908) 238-0100.
- Who is the authorized official for Annandale Family Practice LLC?
- The authorized official listed on Annandale Family Practice LLC'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 Annandale Family Practice LLC's NPI active?
- Yes — Annandale Family Practice LLC's NPI (1467793141) is active in the NPPES registry as of the last update on 2013-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.