OrganizationActive
Avenel Iselin Medical Group, LLC
NPI 1669717864 · Non-Pharmacy Dispensing Site · Iselin, NJ
Avenel Iselin Medical Group, LLC is a Non-Pharmacy Dispensing Site organization in Iselin, NJ (NPI 1669717864).
Provider details
- NPI number
- 1669717864
- 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
- 25MA05991500 (NJ)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(79/100 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
400 Gill Ln
1
Iselin, NJ 08830-3059
Phone: (732) 404-1580
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Other names (DBA / former)
- Doing business as
- Avenel Iselin Medical Group
Registry dates
- Enumerated
- 2012-11-29
- Last updated
- 2024-10-04
- Certified
- 2024-10-04
Frequently asked questions
- What is Avenel Iselin Medical Group, LLC's NPI number?
- Avenel Iselin Medical Group, LLC's National Provider Identifier (NPI) is 1669717864, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Avenel Iselin Medical Group, LLC?
- Avenel Iselin Medical Group, LLC is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Avenel Iselin Medical Group, LLC located?
- Avenel Iselin Medical Group, LLC's practice location on file with NPPES is 400 Gill Ln, Iselin, NJ 08830-3059.
- What is Avenel Iselin Medical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Avenel Iselin Medical Group, LLC is (732) 404-1580.
- Who is the authorized official for Avenel Iselin Medical Group, LLC?
- The authorized official listed on Avenel Iselin Medical Group, LLC's NPPES record is Kenny Heine, Vp Ops. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Avenel Iselin Medical Group, LLC's NPI active?
- Yes — Avenel Iselin Medical Group, LLC's NPI (1669717864) is active in the NPPES registry as of the last update on 2024-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.