Whitehouse Station Family Medicine P a

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

25MA037898 Issued in NJ

Legal business name

WHITEHOUSE STATION FAMILY MEDICINE P A

Doing business as

Whitehouse Station Family Medicine

Practice address

263 Main St
Whitehouse Station, NJ 08889-3737

Phone

(908) 534-2249

NPI assigned

Nov 15, 2012

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 Ops

Phone

(858) 964-1506

Specialties & licenses 1

Addresses

Other names 1

• Whitehouse Station Family Medicine Doing business as

Part of

Tri - State Medical Group Inc

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.

• Alan Kelsey, MD

  • Family Medicine Physician
  • Whitehouse Station, NJ
  • NPI 1295735231
  NPD (past)

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1770827982",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 MAIN ST",
            "city": "WHITEHOUSE STATION",
            "state": "NJ",
            "postal_code": "088893737",
            "telephone_number": "908-534-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEHOUSE STATION FAMILY MEDICINE P A",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX INC.",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OPS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NJ",
            "license": "25MA037898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitehouse Station Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcy Wecker-Herbert
• Leslie Weinman, CN
• Jamie Weisman-Betts, MS, CNS
• Whitehouse First Aid & Rescue Squad
• Whitehouse Station Center for Dentistry LLC
• Whitehouse Station Family Medicine, P.a.
• Joseph W Wolenski, DMD
• Work Smart Computers, Inc.
• Matthew Wright, PA-C

• Non-Pharmacy Dispensing Site in Whitehouse Station, NJ
• Providers in Whitehouse Station, 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 Nov 15, 2012; 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.