National Provider Identifier Database

AVENEL ISELIN MEDICAL GROUP LLC
Non-Pharmacy Dispensing Site

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.)


Contact Information

AVENEL ISELIN MEDICAL GROUP, LLC
400 GILL LN
1
ISELIN, NJ08830-3059
Phone: 732-404-1580
Fax:
Website:
Specialty Taxonomy Code
* Non-Pharmacy Dispensing Site 332900000X

* Indicates primary specialty

NPI Profile & details for AVENEL ISELIN MEDICAL GROUP, LLC

NPI Number 1669717864
Legal business name
LBN
AVENEL ISELIN MEDICAL GROUP, LLC
Authorized official KENNY HEINE - (VP OPS)
Entity Organization
Organization subpart Yes
Enumeration date 11/29/2012
Last updated 10/04/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 25MA05991500

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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