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

Ridgedale Family Medical Associates PC

Organization Non-Pharmacy Dispensing Site · NPI 1639595481

Ridgedale Family Medical Associates PC is a Non-Pharmacy Dispensing Site in East Hanover, 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.

See every abbreviation used in this directory →

Practice location Address checks out

383 Ridgedale Ave Ste 8
East Hanover, NJ 07936-1445
Phone: (973) 887-0200
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 25MA05975800 (NJ)

Record details

NPI number1639595481
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 964-1506
Other names Ridgedale Family Medical
NPI enumeratedMarch 17, 2014
Last updated in NPPESMarch 17, 2014
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705