1. Home
  2. Directory
  3. New Jersey
  4. Manahawkin
  5. Non Pharmacy Dispensing Site
  6. NPI Profile

STAFFORD MEDICAL PA
NPI 1093052102
Non-Pharmacy Dispensing Site in Manahawkin, NJ

Active since January 09, 2013
1364 ROUTE 72 W, 2, MANAHAWKIN, NJ 08050(609) 597-3416 Get Directions Write a Review

NPPES record last updated: January 9, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stafford Medical Pa NPPES

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

STAFFORD MEDICAL PA (NPI 1093052102) is a healthcare organization registered as a non-pharmacy dispensing site in Manahawkin, New Jersey and active in the NPI registry since January 2013. The organization lists Kenny Heine, Vp Ops, as its authorized official.

NPPES Registry Identity

NPI1093052102
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameSTAFFORD MEDICAL PA
Location Address1364 ROUTE 72 W, 2Manahawkin, NJ 08050-2485
Mailing Address5626 Oberlin Dr, 110San Diego, CA 92121-1705
Phone(609) 597-3416
Organization SubpartYesParent: Medvantx Inc
Authorized OfficialKenny HeineVp Ops · (858) 964-1506
Enumeration DateJanuary 9, 2013
✔ NPI 1093052102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in NJ · 25MA066536
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.)
1364 ROUTE 72 W, Manahawkin, NJ 08050
Open in Google Maps ↗

Other Providers at the Same Location NPPES 11

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

MANAHAWKIN CHIROPRACTIC ASSOCIATES, LLC
Chiropractor
1364 ROUTE 72 W
MANAHAWKIN, NJ 08050
Ocean County (609) 597-8822
STAFFORD MEDICAL ASSOCIATES LLC
Internal Medicine (Pulmonary Disease)
1364 ROUTE 72 W
MANAHAWKIN, NJ 08050
Ocean County (732) 773-3056
ANGELINA O'TOOLE
Nurse Practitioner (Gerontology)
1364 ROUTE 72 W
MANAHAWKIN, NJ 08050
Ocean County (609) 836-6602
MRS. HEATHER IRENE HERBST APN,FNP-BC
Nurse Practitioner (Family)
1364 ROUTE 72 W
MANAHAWKIN, NJ 08050
Ocean County (609) 597-3416
STEPHEN J SKOKAN D.P.M.
Podiatrist
1364 ROUTE 72 W
MANAHAWKIN, NJ 08050
Ocean County (609) 597-3416
STAFFORD MEDICAL, P.A.
Internal Medicine
1364 ROUTE 72 W
MANAHAWKIN, NJ 08050
Ocean County (609) 597-3416
CAREY PENROD D.O.
Surgery
1364 ROUTE 72 W, SUITE 5
MANAHAWKIN, NJ 08050
Ocean County (609) 978-0778
DR. TOMMY K NG MD
Internal Medicine (Interventional Cardiology)
1364 ROUTE 72 W, SUITE G2
MANAHAWKIN, NJ 08050
Ocean County (609) 978-2337

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 Stafford Medical PA's NPI number?

The NPI number for Stafford Medical PA is 1093052102. It was assigned to this organization in the NPPES registry on January 9, 2013.

Where is Stafford Medical PA located?

Stafford Medical PA is located at 1364 Route 72 W 2, Manahawkin, NJ 08050. The listed phone number is (609) 597-3416.

What is Stafford Medical PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Stafford Medical PA was last updated on January 9, 2013. 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.