JERSEY COAST FAMILY MEDICINE LLC
NPI 1972923555
Non-Pharmacy Dispensing Site in Brick, NJ

Active since April 22, 2014
495 JACK MARTIN BLVD, SUITE 5, BRICK, NJ 08724(732) 458-8000 Get Directions Write a Review

NPPES record last updated: April 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jersey Coast Family Medicine Llc NPPES

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

JERSEY COAST FAMILY MEDICINE LLC (NPI 1972923555) is a healthcare organization registered as a non-pharmacy dispensing site in Brick, New Jersey and active in the NPI registry since April 2014. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1972923555
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameJERSEY COAST FAMILY MEDICINE LLC
Location Address495 JACK MARTIN BLVD, SUITE 5Brick, NJ 08724-7778
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateApril 22, 2014
NPI 1972923555 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 · 25MA08148000
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.)
495 JACK MARTIN BLVD, Brick, NJ 08724

Other Providers at the Same Location NPPES 15

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

Family Medicine
495 JACK MARTIN BLVD, SUITE 5
BRICK, NJ 08724
Clinic/Center (Ambulatory Surgical)
495 JACK MARTIN BLVD
BRICK, NJ 08724
Anesthesiology
495 JACK MARTIN BLVD
BRICK, NJ 08724
Clinic/Center (Radiology)
495 JACK MARTIN BLVD
BRICK, NJ 08724
Clinic/Center (Methadone)
495 JACK MARTIN BLVD
BRICK, NJ 08724
Radiology (Diagnostic Radiology)
495 JACK MARTIN BLVD
BRICK, NJ 08724
Specialist
495 JACK MARTIN BLVD, SUITE 2
BRICK, NJ 08724
Family Medicine
495 JACK MARTIN BLVD, SUITE 5
BRICK, NJ 08724

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 Jersey Coast Family Medicine LLC's NPI number?

The NPI number for Jersey Coast Family Medicine LLC is 1972923555. It was assigned to this organization in the NPPES registry on April 22, 2014.

Where is Jersey Coast Family Medicine LLC located?

Jersey Coast Family Medicine LLC is located at 495 Jack Martin Blvd Suite 5, Brick, NJ 08724. The listed phone number is (732) 458-8000.

What is Jersey Coast Family Medicine 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 Jersey Coast Family Medicine LLC was last updated on April 22, 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.