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

Northway Medical Associates PLLC

Organization Non-Pharmacy Dispensing Site · NPI 1356765689

Northway Medical Associates PLLC is a Non-Pharmacy Dispensing Site in Fulton, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

21 N 2nd St
Fulton, NY 13069-1250
Phone: (315) 598-7105
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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 211928 (NY)

Record details

NPI number1356765689
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 964-1506
Other names Northway Medical
NPI enumeratedFebruary 6, 2014
Last updated in NPPESFebruary 6, 2014
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705