OrganizationActive
Changebridge Medical Associates, PA
NPI 1760757884 · Non-Pharmacy Dispensing Site · Montville, NJ
Changebridge Medical Associates, PA is a Non-Pharmacy Dispensing Site organization in Montville, NJ (NPI 1760757884).
Provider details
- NPI number
- 1760757884
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Sr Director Ops(858) 964-1506
- License
- 25MA04449000 (NJ)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
170 Changebridge Rd
C-3
Montville, NJ 07045-9115
Phone: (973) 575-5540
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2012-03-22
- Last updated
- 2012-10-25
Frequently asked questions
- What is Changebridge Medical Associates, PA's NPI number?
- Changebridge Medical Associates, PA's National Provider Identifier (NPI) is 1760757884, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Changebridge Medical Associates, PA?
- Changebridge Medical Associates, PA is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Changebridge Medical Associates, PA located?
- Changebridge Medical Associates, PA's practice location on file with NPPES is 170 Changebridge Rd, Montville, NJ 07045-9115.
- What is Changebridge Medical Associates, PA's phone number?
- The practice phone number listed in the NPPES registry for Changebridge Medical Associates, PA is (973) 575-5540.
- Who is the authorized official for Changebridge Medical Associates, PA?
- The authorized official listed on Changebridge Medical Associates, PA's NPPES record is Kenny Heine, Sr Director Ops. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Changebridge Medical Associates, PA's NPI active?
- Yes — Changebridge Medical Associates, PA's NPI (1760757884) is active in the NPPES registry as of the last update on 2012-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.