NJ MED PA
NPI 1225439037
Non-Pharmacy Dispensing Site in Elizabeth, NJ

Active since September 11, 2014CLIA 31D2246443 · Waiver
240 WILLIAMSON ST, SUITE 204, ELIZABETH, NJ 07202(908) 355-8877 Get Directions Write a Review

NPPES record last updated: September 11, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nj Med Pa NPPES

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

NJ MED PA (NPI 1225439037) is a healthcare organization registered as a non-pharmacy dispensing site in Elizabeth, New Jersey and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through December 26, 2027 and lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1225439037
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameNJ MED PA
Location Address240 WILLIAMSON ST, SUITE 204Elizabeth, NJ 07202-3674
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Organization SubpartYesParent: Medvantx Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateSeptember 11, 2014
NPI 1225439037 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 · 25MA05507700
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.)

240 WILLIAMSON ST, Elizabeth, NJ 07202

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 31D2246443

Nj Med PA · Elizabeth, NJ
Active · expires Dec 26, 2027
CLIA Number31D2246443
Laboratory TypePhysician Office
Certificate Effective DateDecember 27, 2025
Certificate Expiration DateDecember 26, 2027
Laboratory DirectorMichael Zabojk
Laboratory Phone(908) 355-8877
Laboratory LocationNj Med PA240 Williamson St Ste 204, Elizabeth, NJ 07202
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 20

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

Nurse Practitioner (Adult Health)
240 WILLIAMSON ST, SUITE 403
ELIZABETH, NJ 07202
Physician Assistant (Medical)
240 WILLIAMSON ST, SUITE 204
ELIZABETH, NJ 07202
Internal Medicine
240 WILLIAMSON ST, SUITE 204
ELIZABETH, NJ 07202
Internal Medicine (Cardiovascular Disease)
240 WILLIAMSON ST, SUITE 300
ELIZABETH, NJ 07202
Obstetrics & Gynecology (Maternal & Fetal Medicine)
240 WILLIAMSON ST, SUITE 405
ELIZABETH, NJ 07202
Internal Medicine
240 WILLIAMSON ST, SUITE 303
ELIZABETH, NJ 07202
Obstetrics & Gynecology
240 WILLIAMSON ST, SUITE 304
ELIZABETH, NJ 07202
Internal Medicine
240 WILLIAMSON ST, SUITE 506
ELIZABETH, NJ 07202

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 Nj Med PA's NPI number?

The NPI number for Nj Med PA is 1225439037. It was assigned to this organization in the NPPES registry on September 11, 2014.

Where is Nj Med PA located?

Nj Med PA is located at 240 Williamson St Suite 204, Elizabeth, NJ 07202. The listed phone number is (908) 355-8877.

What is Nj Med PA's specialty?

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

Does Nj Med PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2246443) is associated with this NPI, valid through December 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nj Med PA was last updated on September 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.