OrganizationActive
Island Medical PA
NPI 1639587801 · Non-Pharmacy Dispensing Site · Ship Bottom, NJ
Island Medical PA is a Non-Pharmacy Dispensing Site organization in Ship Bottom, NJ (NPI 1639587801).
Provider details
- NPI number
- 1639587801
- 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
- 25MA05374000 (NJ)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(75/100 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
1812 Long Beach Blvd
Ship Bottom, NJ 08008-4443
Phone: (609) 494-2323
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2014-07-31
- Last updated
- 2014-07-31
Frequently asked questions
- What is Island Medical PA's NPI number?
- Island Medical PA's National Provider Identifier (NPI) is 1639587801, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Island Medical PA?
- Island Medical PA is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Island Medical PA located?
- Island Medical PA's practice location on file with NPPES is 1812 Long Beach Blvd, Ship Bottom, NJ 08008-4443.
- What is Island Medical PA's phone number?
- The practice phone number listed in the NPPES registry for Island Medical PA is (609) 494-2323.
- Who is the authorized official for Island Medical PA?
- The authorized official listed on Island Medical 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 Island Medical PA's NPI active?
- Yes — Island Medical PA's NPI (1639587801) is active in the NPPES registry as of the last update on 2014-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.