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

Jersey Coast Family Medicine LLC

Organization Non-Pharmacy Dispensing Site · NPI 1972923555

Jersey Coast Family Medicine LLC is a Non-Pharmacy Dispensing Site in Brick, 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?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

495 Jack Martin Blvd Ste 5
Brick, NJ 08724-7778
Phone: (732) 458-8000
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 25MA08148000 (NJ)

Record details

NPI number1972923555
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 964-1506
NPI enumeratedApril 22, 2014
Last updated in NPPESApril 22, 2014
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

Other providers in Brick