OrganizationActive
Dominick Condo MD PA
NPI 1770904138 · Non-Pharmacy Dispensing Site · Bayonne, NJ
Dominick Condo MD PA is a Non-Pharmacy Dispensing Site organization in Bayonne, NJ (NPI 1770904138).
Provider details
- NPI number
- 1770904138
- 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
- 25MA08097300 (NJ)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(77/100 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
622 Broadway
Bayonne, NJ 07002-3821
Phone: (201) 436-2800
Street-level locationGet directions
Mailing address
9276 Scranton Rd
San Diego, CA 92121-7701
Registry dates
- Enumerated
- 2014-01-02
- Last updated
- 2015-12-10
Frequently asked questions
- What is Dominick Condo MD PA's NPI number?
- Dominick Condo MD PA's National Provider Identifier (NPI) is 1770904138, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dominick Condo MD PA?
- Dominick Condo MD PA is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Dominick Condo MD PA located?
- Dominick Condo MD PA's practice location on file with NPPES is 622 Broadway, Bayonne, NJ 07002-3821.
- What is Dominick Condo MD PA's phone number?
- The practice phone number listed in the NPPES registry for Dominick Condo MD PA is (201) 436-2800.
- Who is the authorized official for Dominick Condo MD PA?
- The authorized official listed on Dominick Condo MD 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 Dominick Condo MD PA's NPI active?
- Yes — Dominick Condo MD PA's NPI (1770904138) is active in the NPPES registry as of the last update on 2015-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.