OrganizationActive
Jersey Coast Family Medicine LLC
NPI 1972923555 · Non-Pharmacy Dispensing Site · Brick, NJ
Jersey Coast Family Medicine LLC is a Non-Pharmacy Dispensing Site organization in Brick, NJ (NPI 1972923555).
Provider details
- NPI number
- 1972923555
- 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
- 25MA08148000 (NJ)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(76/100 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
495 Jack Martin Blvd
Suite 5
Brick, NJ 08724-7778
Phone: (732) 458-8000
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2014-04-22
- Last updated
- 2014-04-22
Frequently asked questions
- What is Jersey Coast Family Medicine LLC's NPI number?
- Jersey Coast Family Medicine LLC's National Provider Identifier (NPI) is 1972923555, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jersey Coast Family Medicine LLC?
- Jersey Coast Family Medicine LLC is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Jersey Coast Family Medicine LLC located?
- Jersey Coast Family Medicine LLC's practice location on file with NPPES is 495 Jack Martin Blvd, Brick, NJ 08724-7778.
- What is Jersey Coast Family Medicine LLC's phone number?
- The practice phone number listed in the NPPES registry for Jersey Coast Family Medicine LLC is (732) 458-8000.
- Who is the authorized official for Jersey Coast Family Medicine LLC?
- The authorized official listed on Jersey Coast Family Medicine LLC'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 Jersey Coast Family Medicine LLC's NPI active?
- Yes — Jersey Coast Family Medicine LLC's NPI (1972923555) is active in the NPPES registry as of the last update on 2014-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.