Active NPI
Ocean County Family Care, P.a.
Doing business as Ocean County Family Care - Jackson
- Non-Pharmacy Dispensing Site
- Jackson, NJ
National Provider Identifier
1730220328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- 25MA08551100
- Legal business name
- OCEAN COUNTY FAMILY CARE, P.A.
- Doing business as
- Ocean County Family Care - Jackson
- Practice address
- 27 Cooks Bridge Road
Suite 2-2
Jackson, NJ 08527 - Phone
- (732) 370-4222
- NPI assigned
- Feb 8, 2007
- Last updated
- Dec 22, 2014
- 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
- Mr. Kenny Heine
- Title
- VP of Operations
- Phone
- (858) 964-1506
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | 25MA08551100 | NJ | Primary |
Addresses
Primary practice location
27 Cooks Bridge Road
Suite 2-2
Jackson, NJ 08527
Mailing address
5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705
Phone (858) 625-2990
Other names 1
- Ocean County Family Care - Jackson
National Provider Directory
National Provider Directory- Tax ID family
- Ocean County Family Care
- Part of
- Medvantx Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Ship Bottom, NJ
- NPI 1063596153
-
- Durable Medical Equipment & Medical Supplies
- Lakewood, NJ
- NPI 1851471007
Practitioners & affiliated clinicians
Practitioners 1
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
- Brick, NJ
- NPI 1861498628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1419206400000",
"number": "1730220328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5626 OBERLIN DR",
"address_2": "SUITE 110",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211705",
"telephone_number": "858-625-2990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 COOKS BRIDGE ROAD",
"address_2": "SUITE 2-2",
"city": "JACKSON",
"state": "NJ",
"postal_code": "08527",
"telephone_number": "732-370-4222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCEAN COUNTY FAMILY CARE, P.A.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDVANTX, INC.",
"enumeration_date": "2007-02-08",
"last_updated": "2014-12-22",
"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",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "NJ",
"license": "25MA08551100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ocean County Family Care - Jackson",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.