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ANNANDALE FAMILY PRACTICE
NPI 1467793141
Non-Pharmacy Dispensing Site in Lebanon, NJ

Active since March 06, 2013
56 PAYNE RD, SUITE 21, LEBANON, NJ 08833(908) 238-0100 Get Directions Write a Review

NPPES record last updated: March 6, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Annandale Family Practice NPPES

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

ANNANDALE FAMILY PRACTICE (NPI 1467793141) is a healthcare organization registered as a non-pharmacy dispensing site in Lebanon, New Jersey and active in the NPI registry since March 2013. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1467793141
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameANNANDALE FAMILY PRACTICE LLC
Location Address56 PAYNE RD, SUITE 21Lebanon, NJ 08833-3262
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(908) 238-0100
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateMarch 6, 2013
✔ NPI 1467793141 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 · 25MA07764100
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.)
56 PAYNE RD, Lebanon, NJ 08833
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Other Names 1

Doing Business AsAnnandale Family Practice

Other Providers at the Same Location NPPES 2

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

ANNANDALE FAMILY PRACTICE LLC
Clinic/Center (Primary Care)
56 PAYNE RD, SUITE 21
LEBANON, NJ 08833
Hunterdon County (908) 238-0100
DR. THERESA ANN SACCHIERI M.D.
Family Medicine
56 PAYNE RD, SUITE 21
LEBANON, NJ 08833
Hunterdon County (908) 238-0100

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 Annandale Family Practice LLC's NPI number?

The NPI number for Annandale Family Practice LLC is 1467793141. It was assigned to this organization in the NPPES registry on March 6, 2013. The provider is doing business as Annandale Family Practice.

Where is Annandale Family Practice LLC located?

Annandale Family Practice LLC is located at 56 Payne Rd Suite 21, Lebanon, NJ 08833. The listed phone number is (908) 238-0100.

What is Annandale Family Practice LLC'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 Annandale Family Practice LLC was last updated on March 6, 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.