OrganizationActive
Jersey Shore Monmouth Family Medicine Group PC
NPI 1679976435 · Non-Pharmacy Dispensing Site · Jackson, NJ
Provider details
- NPI number
- 1679976435
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Authorized official
- Kenny Heine, Vp of Operations
- License
- 25MA08265400 (NJ)
Practice location
27 S Cooks Bridge Rd
Suite 27
Jackson, NJ 08527-2524
Phone: (732) 987-5545
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2014-10-07
- Last updated
- 2014-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.