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

Bridgewater Medical Group PA

Organization Non-Pharmacy Dispensing Site · NPI 1255752044

Bridgewater Medical Group PA is a Non-Pharmacy Dispensing Site in Bridgewater, New Jersey. Licensed in New Jersey. Registered with an NPI since 2013.

Licensed in
NJ
In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

766 US Highway 202/206
Bridgewater, NJ 08807-1777
Phone: (908) 722-0808
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence 25MB05436000 (NJ)

Record details

NPI number1255752044
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx
Authorized official Kenny Heine — Vp Of Operations · (858) 964-1506
Other names Bridgewater Medical Group
NPI enumeratedDecember 20, 2013
Last updated in NPPESDecember 20, 2013
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705