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AVENEL ISELIN MEDICAL GROUP, LLC
NPI 1487674867
Durable Medical Equipment & Medical Supplies in Iselin, NJ

Active since July 20, 2006CLIA 31D0685366 · Waiver
400 GILL LN, ISELIN, NJ 08830(732) 404-1580(732) 404-1594 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avenel Iselin Medical Group, Llc NPPES

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

AVENEL ISELIN MEDICAL GROUP, LLC (NPI 1487674867) is a healthcare organization registered as a durable medical equipment & medical supplies in Iselin, New Jersey and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 8, 2027 and lists Jean Parente, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1487674867
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameAVENEL ISELIN MEDICAL GROUP, LLC
Location Address400 GILL LNIselin, NJ 08830-3001
Mailing Address400 Gill LnIselin, NJ 08830-3001 · (732) 404-1580 · Fax (732) 404-1594
Phone(732) 404-1580
Fax(732) 404-1594
Organization SubpartNo
Authorized OfficialJean ParentePractice Administrator · (732) 404-1580
Enumeration DateJuly 20, 2006
Last NPPES UpdateOctober 4, 2024
NPPES CertifiedOctober 4, 2024
✔ NPI 1487674867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in NJ · 4805470001
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
Also ListedHospitalistTaxonomy 208M00000X
Also ListedPodiatristTaxonomy 213E00000X · License 25MD00101300 (NJ)
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
400 GILL LN, Iselin, NJ 08830
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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 31D0685366

Avenel Iselin Medical Group · Iselin, NJ
Active · expires Aug 8, 2027
CLIA Number31D0685366
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2025
Certificate Expiration DateAugust 8, 2027
Laboratory DirectorDr. Mitchell Mayer Do
Laboratory Phone(732) 404-1580
Laboratory LocationAvenel Iselin Medical Group400 Gill Lane, Iselin, NJ 08830
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 14

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

JAHNAVI PATEL
Physician Assistant
400 GILL LN
ISELIN, NJ 08830
Middlesex County (732) 404-1580
NEIL PERILSTEIN M.D.
Family Medicine
400 GILL LN
ISELIN, NJ 08830
Middlesex County (732) 404-1580
CORA O OGBOLU MD
Internal Medicine (Nephrology)
400 GILL LN
ISELIN, NJ 08830
Middlesex County (732) 404-1580
DR. RAHUL GOKHROO MD
Internal Medicine (Interventional Cardiology)
400 GILL LN
ISELIN, NJ 08830
Middlesex County (732) 404-1580
MARINA GRUNDMAN P.A.-C
Physician Assistant
400 GILL LN
ISELIN, NJ 08830
Middlesex County (732) 404-1580
SWATI GUPTA
Internal Medicine
400 GILL LN
ISELIN, NJ 08830
Middlesex County (732) 404-1580
DR. OVSHAY SHAY OVSHAYEV DO
Internal Medicine
400 GILL LN
ISELIN, NJ 08830
Middlesex County (732) 404-1580
MS. KRISTINA DANIELLE MANCINI PA-C
Physician Assistant
400 GILL LN
ISELIN, NJ 08830
Middlesex County (732) 404-1580

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 Avenel Iselin Medical Group, LLC's NPI number?

The NPI number for Avenel Iselin Medical Group, LLC is 1487674867. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is Avenel Iselin Medical Group, LLC located?

Avenel Iselin Medical Group, LLC is located at 400 Gill Ln, Iselin, NJ 08830. The listed phone number is (732) 404-1580.

What is Avenel Iselin Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Avenel Iselin Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0685366) is associated with this NPI, valid through August 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Avenel Iselin Medical Group, LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Avenel Iselin Medical Group, LLC 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 Avenel Iselin Medical Group, LLC was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.