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CHANGEBRIDGE MEDICAL ASSOCIATES, PA
NPI 1760757884
Non-Pharmacy Dispensing Site in Montville, NJ

Active since March 22, 2012
170 CHANGEBRIDGE RD, C-3, MONTVILLE, NJ 07045(973) 575-5540 Get Directions Write a Review

NPPES record last updated: October 25, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Changebridge Medical Associates, Pa NPPES

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

CHANGEBRIDGE MEDICAL ASSOCIATES, PA (NPI 1760757884) is a healthcare organization registered as a non-pharmacy dispensing site in Montville, New Jersey and active in the NPI registry since March 2012. The organization lists Kenny Heine, Sr Director Ops, as its authorized official.

NPPES Registry Identity

NPI1760757884
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameCHANGEBRIDGE MEDICAL ASSOCIATES, PA
Location Address170 CHANGEBRIDGE RD, C-3Montville, NJ 07045-9115
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(973) 575-5540
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineSr Director Ops · (858) 964-1506
Enumeration DateMarch 22, 2012
Last NPPES UpdateOctober 25, 2012
✔ NPI 1760757884 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 · 25MA04449000
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.)

170 CHANGEBRIDGE RD, Montville, NJ 07045
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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.

DR. MICHAEL CHARLES IBERER D.C.
Chiropractor
170 CHANGEBRIDGE RD, UNIT B-1
MONTVILLE, NJ 07045
Morris County (973) 575-1950
DR. DAVID ERIC FIELDS DMD
Dentist
170 CHANGEBRIDGE RD, UNIT C-1A
MONTVILLE, NJ 07045
Morris County (973) 227-7110
FIELDS COSMETIC & FAMILY DENTISTRY, LLC
Dentist (General Practice)
170 CHANGEBRIDGE RD, SUITE C-1A
MONTVILLE, NJ 07045
Morris County (973) 227-7110
MONTVILLE ORTHODONTIC ASSOCIATES
Dentist (Orthodontics and Dentofacial Orthopedics)
170 CHANGEBRIDGE RD, UNIT C 5-2
MONTVILLE, NJ 07045
Morris County (973) 227-1132
DR. PETER JOHN ANTONELLIS D.M.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
170 CHANGEBRIDGE RD, UNIT C 5-2
MONTVILLE, NJ 07045
Morris County (973) 227-1132
MS. SUSAN SMITH
Physical Therapist
170 CHANGEBRIDGE RD, SUITE A5
MONTVILLE, NJ 07045
Morris County (973) 575-1112
SIRIKE T AASMAA DO PA
Internal Medicine
170 CHANGEBRIDGE RD, SUITE D1
MONTVILLE, NJ 07045
Morris County (973) 575-5150
SIRIKE TRUUMEES AASMAA DO
Internal Medicine
170 CHANGEBRIDGE RD, SUITE D1
MONTVILLE, NJ 07045
Morris County (973) 575-5150

Frequently Asked Questions

What is CHANGEBRIDGE MEDICAL ASSOCIATES, PA's NPI number?

The NPI number assigned to this healthcare provider is 1760757884, enumerated as an "organization" on March 22, 2012.

Where is the provider located?

The provider is located at 170 CHANGEBRIDGE RD C-3 MONTVILLE, NJ 07045 and the phone number is (973) 575-5540.

What is the provider's specialty?

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.