Raritan Family Healthcare PA

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

25MB06573300 Issued in NJ

Legal business name

RARITAN FAMILY HEALTHCARE PA

Practice address

901 US Highway 202
Raritan, NJ 08869-1419

Phone

(858) 625-2990

NPI assigned

Oct 8, 2014

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenny Heine

Title

VP of Operations

Phone

(858) 964-1506

Specialties & licenses 1

Addresses

Other names 1

• Raritan Family Health Care - Raritan Doing business as

Part of

Tri - State Medical Group Inc

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/3a1dfc54-3ef1-4d24-a87c-45de2dcda2e0/

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashleigh Lemaire, MD

  • Family Medicine Physician
  • Raritan, NJ
  • NPI 1285121145
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1215330980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 US HIGHWAY 202",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691419",
            "telephone_number": "858-625-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RARITAN FAMILY HEALTHCARE PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NJ",
            "license": "25MB06573300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raritan Family Health Care - Raritan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Psychiatric and Behavirol Health Solutions, LLC
• Victoria Rose Randazzo, LCSW
• Raritan Apothecary LLC
• Raritan Excel Care Inc
• Raritan Family Health Care PA
• Raritan Family Practice
• Raritan NH LLC
• Raritan Valley Orthodontics PA
• John Francis Raziano, D.M.D.
• Julia Regnault

• Non-Pharmacy Dispensing Site in Raritan, NJ
• Providers in Raritan, NJ by specialty
• Non-Pharmacy Dispensing Site in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.