Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Avenel Iselin Medical Group, LLC

Organization Family Medicine Physician · NPI 1487674867

Avenel Iselin Medical Group, LLC is a Family Medicine Physician in Iselin, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
Specialties on file
12
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

400 Gill Ln
Iselin, NJ 08830-3001
Phone: (732) 404-1580
Fax: (732) 404-1594
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 4805470001 (NJ)
Family Medicine Physician Taxonomy 207Q00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Gastroenterology Physician Taxonomy 207RG0100X
Nephrology Physician Taxonomy 207RN0300X
Nuclear Cardiology Physician Taxonomy 207UN0901X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Surgery Physician Taxonomy 208600000X
Urology Physician Taxonomy 208800000X
Hospitalist Physician Taxonomy 208M00000X
Podiatrist Taxonomy 213E00000X · Licence 25MD00101300 (NJ)
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1487674867
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jean Parente — Practice Administrator · (732) 404-1580
NPI enumeratedJuly 20, 2006
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024
Mailing address400 Gill Ln, Iselin, NJ 08830-3001

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