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AVENEL ISELIN MEDICAL GROUP
NPI 1669717864
Non-Pharmacy Dispensing Site in Iselin, NJ

Active since November 29, 2012
400 GILL LN, 1, ISELIN, NJ 08830(732) 404-1580 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Avenel Iselin Medical Group NPPES

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

AVENEL ISELIN MEDICAL GROUP (NPI 1669717864) is a healthcare organization registered as a non-pharmacy dispensing site in Iselin, New Jersey and active in the NPI registry since November 2012. The organization lists Kenny Heine, Vp Ops, as its authorized official.

NPPES Registry Identity

NPI1669717864
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameAVENEL ISELIN MEDICAL GROUP, LLC
Location Address400 GILL LN, 1Iselin, NJ 08830-3059
Mailing Address5626 Oberlin Dr, 110San Diego, CA 92121-1705
Phone(732) 404-1580
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Ops · (858) 964-1506
Enumeration DateNovember 29, 2012
Last NPPES UpdateOctober 4, 2024
NPPES CertifiedOctober 4, 2024
✔ NPI 1669717864 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 · 25MA05991500
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.)
400 GILL LN, Iselin, NJ 08830
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Other Names 1

Doing Business AsAvenel Iselin Medical Group

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
AVENEL ISELIN MEDICAL GROUP, LLC
Durable Medical Equipment & Medical Supplies
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

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 1669717864. It was assigned to this organization in the NPPES registry on November 29, 2012. The provider is doing business as Avenel Iselin Medical Group.

Where is Avenel Iselin Medical Group, LLC located?

Avenel Iselin Medical Group, LLC is located at 400 Gill Ln 1, 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 Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

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.