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

Dominick Condo MD PA

Organization Non-Pharmacy Dispensing Site · NPI 1770904138

Dominick Condo MD PA is a Non-Pharmacy Dispensing Site in Bayonne, New Jersey. Licensed in New Jersey. Registered with an NPI since 2014.

Licensed in
NJ
In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

622 Broadway
Bayonne, NJ 07002-3821
Phone: (201) 436-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence 25MA08097300 (NJ)

Record details

NPI number1770904138
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 964-1506
NPI enumeratedJanuary 2, 2014
Last updated in NPPESDecember 10, 2015
Mailing address9276 Scranton Rd, Suite 100, San Diego, CA 92121-7701

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