RIDGEDALE FAMILY MEDICAL
NPI 1639595481
Non-Pharmacy Dispensing Site in East Hanover, NJ

Active since March 17, 2014
383 RIDGEDALE AVE, SUITE 8, EAST HANOVER, NJ 07936(973) 887-0200 Get Directions Write a Review

NPPES record last updated: March 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ridgedale Family Medical NPPES

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

RIDGEDALE FAMILY MEDICAL (NPI 1639595481) is a healthcare organization registered as a non-pharmacy dispensing site in East Hanover, New Jersey and active in the NPI registry since March 2014. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1639595481
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameRIDGEDALE FAMILY MEDICAL ASSOCIATES PC
Location Address383 RIDGEDALE AVE, SUITE 8East Hanover, NJ 07936-1445
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateMarch 17, 2014
NPI 1639595481 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 · 25MA05975800
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.)
383 RIDGEDALE AVE, East Hanover, NJ 07936

Other Names 1

Doing Business AsRidgedale Family Medical

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
383 RIDGEDALE AVE
EAST HANOVER, NJ 07936
Internal Medicine
383 RIDGEDALE AVE
EAST HANOVER, NJ 07936
General Practice
383 RIDGEDALE AVE
EAST HANOVER, NJ 07936
Family Medicine
383 RIDGEDALE AVE
EAST HANOVER, NJ 07936
Internal Medicine
383 RIDGEDALE AVE
EAST HANOVER, NJ 07936
Physician Assistant (Medical)
383 RIDGEDALE AVE
EAST HANOVER, NJ 07936
Internal Medicine
383 RIDGEDALE AVE
EAST HANOVER, NJ 07936

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 Ridgedale Family Medical Associates PC's NPI number?

The NPI number for Ridgedale Family Medical Associates PC is 1639595481. It was assigned to this organization in the NPPES registry on March 17, 2014. The provider is doing business as Ridgedale Family Medical.

Where is Ridgedale Family Medical Associates PC located?

Ridgedale Family Medical Associates PC is located at 383 Ridgedale Ave Suite 8, East Hanover, NJ 07936. The listed phone number is (973) 887-0200.

What is Ridgedale Family Medical Associates PC'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 Ridgedale Family Medical Associates PC was last updated on March 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.