OrganizationActive
First Care Medical Group Inc
NPI 1619218542 · Non-Pharmacy Dispensing Site · Lyndhurst, NJ
Provider details
- NPI number
- 1619218542
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp Ops(858) 964-1506
- License
- 25MA04732500 (NJ)
Specialties & taxonomies
Suppliers
Practice location
750 Valley Brook Ave
Lyndhurst, NJ 07071-1301
Phone: (201) 896-0900
Approximate (ZIP-level) locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Other names (DBA / former)
- Doing business as
- First Care Medical Group- Lyndhurst
Registry dates
- Enumerated
- 2013-03-01
- Last updated
- 2013-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.