Active NPI
Allentown Medical Associates
- Non-Pharmacy Dispensing Site
- Cream Ridge, NJ
National Provider Identifier
1487975777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- MA047072
- Legal business name
- ALLENTOWN MEDICAL ASSOCIATES
- Practice address
- 163 Burlington Path Rd
L
Cream Ridge, NJ 08514-1622 - Phone
- (609) 758-1100
- NPI assigned
- Jun 21, 2010
- Last updated
- Jun 21, 2010
- Organization subpart
- Yes
- Parent organization
- MEDVANTX, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenny Heine
- Title
- Sr Director Operations
- Phone
- (858) 625-2990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | MA047072 | NJ | Primary |
Addresses
Primary practice location
163 Burlington Path Rd
L
Cream Ridge, NJ 08514-1622
Mailing address
5810 Nancy Ridge Dr
100
San Diego, CA 92121-2834
National Provider Directory
National Provider Directory- Tax ID family
- Allentown Medical Assoc
- Part of
- Medvantx Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Cream Ridge, NJ
- NPI 1659433357
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BAICAD
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Cream Ridge, NJ
- NPI 1912947029
-
- Pediatrics Physician
- Cream Ridge, NJ
- NPI 1548216617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277078400000",
"number": "1487975777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5810 NANCY RIDGE DR",
"address_2": "100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921212834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 BURLINGTON PATH RD",
"address_2": "L",
"city": "CREAM RIDGE",
"state": "NJ",
"postal_code": "085141622",
"telephone_number": "609-758-1100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLENTOWN MEDICAL ASSOCIATES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDVANTX, INC.",
"enumeration_date": "2010-06-21",
"last_updated": "2010-06-21",
"status": "A",
"authorized_official_last_name": "HEINE",
"authorized_official_first_name": "KENNY",
"authorized_official_title_or_position": "SR DIRECTOR OPERATIONS",
"authorized_official_telephone_number": "858-625-2990"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "NJ",
"license": "MA047072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cream Ridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.