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

Jersey Shore Monmouth Family Medicine Group PC

Organization Non-Pharmacy Dispensing Site · NPI 1760886139

Jersey Shore Monmouth Family Medicine Group PC is a Non-Pharmacy Dispensing Site in Jackson, 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?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

27 S Cooks Bridge Rd Ste 2-3
Jackson, NJ 08527-2462
Phone: (732) 987-5545
Fax: (732) 987-5549
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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 25MA09443900 (NJ)

Record details

NPI number1760886139
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 964-1506
Other names Meridian Js Monmouth Family Medicine Group At Howell Jackson Medical C; Meridian Js Monmouth Family Medicine Group At Howell Jackson Medical C
NPI enumeratedOctober 14, 2014
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

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