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FAMILY MEDICINE CENTER - LITTLE EGG HARBOR
NPI 1992041107
Non-Pharmacy Dispensing Site in Little Egg Harbor Twp, NJ

Active since December 14, 2012
279 MATHISTOWN RD, LITTLE EGG HARBOR TWP, NJ 08087(609) 296-1101 Get Directions Write a Review

NPPES record last updated: December 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family Medicine Center - Little Egg Harbor NPPES

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

FAMILY MEDICINE CENTER - LITTLE EGG HARBOR (NPI 1992041107) is a healthcare organization registered as a non-pharmacy dispensing site in Little Egg Harbor Twp, New Jersey and active in the NPI registry since December 2012. The organization lists Kenny Heine, Vp Ops, as its authorized official.

NPPES Registry Identity

NPI1992041107
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameFAMILY MEDICINE CENTER
Location Address279 MATHISTOWN RDLittle Egg Harbor Twp, NJ 08087-4021
Mailing Address5626 Oberlin Dr, 110San Diego, CA 92121-1705
Phone(609) 296-1101
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Ops · (858) 964-1506
Enumeration DateDecember 14, 2012
✔ NPI 1992041107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in NC · 25MB052176
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.)
279 MATHISTOWN RD, Little Egg Harbor Twp, NJ 08087
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Other Names 1

Doing Business AsFamily Medicine Center - Little Egg Harbor

Other Providers at the Same Location NPPES 8

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

MRS. JENNIFER PETERSON FNP
Nurse Practitioner
279 MATHISTOWN RD
LITTLE EGG HARBOR TWP, NJ 08087
Ocean County (609) 296-1101
TOBY W TRACY DO
Family Medicine
279 MATHISTOWN RD
LITTLE EGG HARBOR, NJ 08087
Ocean County (609) 296-1101
CAROLINE B MASTRO MD
Family Medicine
279 MATHISTOWN RD
LITTLE EGG HARBOR, NJ 08087
Ocean County (609) 296-1101
MICHAEL J RAGUSO-FAILLA MD
Family Medicine
279 MATHISTOWN RD
LITTLE EGG HARBOR, NJ 08087
Ocean County (609) 296-1101
EAST COAST ORTHOPAEDIC & SPORTS MEDICINE,LLC
Orthopaedic Surgery
279 MATHISTOWN RD
LITTLE EGG HARBOR, NJ 08087
Ocean County (609) 294-8100
KIMBERLY ANN HOGAN MD
Family Medicine
279 MATHISTOWN RD
LITTLE EGG HARBOR, NJ 08087
Ocean County (609) 296-1101
NOELLE ANN DERHAY
Counselor (Professional)
279 MATHISTOWN RD
LITTLE EGG HARBOR TWP, NJ 08087
Ocean County (732) 573-5132
MRS. SHIRLEY M SHAFFERY BSN
Nurse Practitioner (Family)
279 MATHISTOWN RD
LITTLE EGG HARBOR TWP, NJ 08087
Ocean County (609) 296-1101

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 Family Medicine Center's NPI number?

The NPI number for Family Medicine Center is 1992041107. It was assigned to this organization in the NPPES registry on December 14, 2012. The provider is doing business as Family Medicine Center - Little Egg Harbor.

Where is Family Medicine Center located?

Family Medicine Center is located at 279 Mathistown Rd, Little Egg Harbor Twp, NJ 08087. The listed phone number is (609) 296-1101.

What is Family Medicine Center'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 Family Medicine Center was last updated on December 14, 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.