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

Island Medical PA

Organization Non-Pharmacy Dispensing Site · NPI 1639587801

Island Medical PA is a Non-Pharmacy Dispensing Site in Ship Bottom, 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.

See every abbreviation used in this directory →

Practice location Address checks out

1812 Long Beach Blvd
Ship Bottom, NJ 08008-4443
Phone: (609) 494-2323
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 25MA05374000 (NJ)

Record details

NPI number1639587801
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 964-1506
NPI enumeratedJuly 31, 2014
Last updated in NPPESJuly 31, 2014
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705