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

Active since March 22, 2012CLIA 31D0724689 · Waiver
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: August 09, 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 holds a CLIA Waiver certificate valid through March 31, 2027 and 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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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 31D0724689

Changebridge Medical Associates A Member Of Consensus Health · Montville, NJ
Active · expires Mar 31, 2027
CLIA Number31D0724689
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorArnold I. Pallay
Laboratory Phone(973) 575-5540
Laboratory LocationChangebridge Medical Associates A Member Of Consensus Health170 Changebridge Rd Bldg C3, Montville, NJ 07045
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 20

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

DR. SANDRA HOENIG M.D,
Family Medicine
170 CHANGEBRIDGE RD, SUITE C3
MONTVILLE, NJ 07045
Morris County (973) 575-5540
DR. PAREEN RAJ LAPSIWALA D.O.
Family Medicine
170 CHANGEBRIDGE RD, SUITE C-3
MONTVILLE, NJ 07045
Morris County (973) 575-5540
MRS. ANNE K EFFRON MSW, LCSW, BCD
Social Worker (Clinical)
170 CHANGEBRIDGE RD, SUITE C-4
MONTVILLE, NJ 07045
Morris County (973) 794-6565
MONTVILLE ORTHODONTIC ASSOCIATES
Dentist (Orthodontics and Dentofacial Orthopedics)
170 CHANGEBRIDGE RD, UNIT C 5-2
MONTVILLE, NJ 07045
Morris County (973) 227-1132
DR. MICHAEL CHARLES IBERER D.C.
Chiropractor
170 CHANGEBRIDGE RD, UNIT B-1
MONTVILLE, NJ 07045
Morris County (973) 575-1950
DR. BERDJ FEREDJIAN D.D.S.
Dentist (General Practice)
170 CHANGEBRIDGE RD, SUITE B-33
MONTVILLE, NJ 07045
Morris County (973) 575-5555
MARY JO REID LCSW
Social Worker (Clinical)
170 CHANGEBRIDGE RD, SUITE B 3-2
MONTVILLE, NJ 07045
Morris County (973) 895-5183
LISA LABRUNDA LCSW
Social Worker (Clinical)
170 CHANGEBRIDGE RD, BLDG B#
MONTVILLE, NJ 07045
Morris County (973) 951-0297

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 Changebridge Medical Associates, PA's NPI number?

The NPI number for Changebridge Medical Associates, PA is 1760757884. It was assigned to this organization in the NPPES registry on March 22, 2012.

Where is Changebridge Medical Associates, PA located?

Changebridge Medical Associates, PA is located at 170 Changebridge Rd C-3, Montville, NJ 07045. The listed phone number is (973) 575-5540.

What is Changebridge Medical Associates, PA's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Changebridge Medical Associates, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0724689) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Changebridge Medical Associates, PA was last updated on October 25, 2012. 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.