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NORTH EAST FAMILY PRACTICE
NPI 1003064924
Non-Pharmacy Dispensing Site in North East, PA

Active since September 04, 2008CLIA 39D0183821 · Waiver
115 E MAIN ST, NORTH EAST, PA 16428(814) 725-8774 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North East Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH EAST FAMILY PRACTICE (NPI 1003064924) is a healthcare organization registered as a non-pharmacy dispensing site in North East, Pennsylvania and active in the NPI registry since September 2008. The organization holds a CLIA Waiver certificate valid through March 21, 2028 and lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1003064924
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameNORTH EAST FAMILY PRACTICE
Location Address115 E MAIN STNorth East, PA 16428-1330
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(814) 725-8774
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990
Enumeration DateSeptember 4, 2008
Last NPPES UpdateOctober 23, 2012
✔ NPI 1003064924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in PA · OS006274L
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
115 E MAIN ST, North East, PA 16428
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0183821

North East Family Practice · North East, PA
Active · expires Mar 21, 2028
CLIA Number39D0183821
Laboratory TypePhysician Office
Certificate Effective DateMarch 22, 2026
Certificate Expiration DateMarch 21, 2028
Laboratory DirectorJohn E. Dudzinski Do
Laboratory Phone(814) 725-8774
Laboratory LocationNorth East Family Practice115 East Main Street, North East, PA 16428
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORDAN ELIZABETH ZIELINSKI PA-C
Physician Assistant
115 E MAIN ST
NORTH EAST, PA 16428
Erie County (814) 725-8774
DUDZINSKI ENTERPRISES, INC.
Family Medicine
115 E MAIN ST
NORTH EAST, PA 16428
Erie County (814) 725-8774
DR. JOHN ERIC DUDZINSKI D.O.
Family Medicine
115 E MAIN ST
NORTH EAST, PA 16428
Erie County (814) 725-8774
SARAH JANE WICK PA
Physician Assistant
115 E MAIN ST
NORTH EAST, PA 16428
Erie County (814) 725-8774
DR. PHILIP CHARLES DEVORE D.O.
Family Medicine
115 E MAIN ST
NORTH EAST, PA 16428
Erie County (814) 725-8774
DUDZINSKI ENTERPRISES INC
Clinical Medical Laboratory
115 E MAIN ST
NORTH EAST, PA 16428
Erie County (814) 725-8774

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North East Family Practice's NPI number?

The NPI number for North East Family Practice is 1003064924. It was assigned to this organization in the NPPES registry on September 4, 2008.

Where is North East Family Practice located?

North East Family Practice is located at 115 E Main St, North East, PA 16428. The listed phone number is (814) 725-8774.

What is North East Family Practice's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does North East Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0183821) is associated with this NPI, valid through March 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North East Family Practice accept?

Health plans from Sanford Health Plan list North East Family Practice as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for North East Family Practice was last updated on October 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.