CHANGEBRIDGE MEDICAL ASSOCIATES, PA (NPI# 1760757884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760757884 |
| Entity Type | Organization |
| Organization Name | CHANGEBRIDGE MEDICAL ASSOCIATES, PA |
| Practice Address |
170 Changebridge Rd C-3 Montville NJ 07045-9115 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 9735755540 |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-10-25 |
| Authorized Official Name | KENNY HEINE (SR DIRECTOR OPS) |
| Authorized Official Telephone | 8589641506 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 25MA04449000 | NJ | Suppliers |
| Street Address |
170 CHANGEBRIDGE RD C-3 |
| City | MONTVILLE |
| State | NJ |
| Zip Code | 07045-9115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295780286 | Berdj Feredjian | Dentist | 170 Changebridge Rd, Suite B-33, Montville, NJ 07045-9115 | 2006-05-24 |
| 1457749095 | Jaclyn Festa | Counselor | 170 Changebridge Rd, B3-2, Montville, NJ 07045-9115 | 2015-01-06 |
| 1770984528 | Primary Care Partners LLC | Family Medicine | 170 Changebridge Rd, Suite A3, Montville, NJ 07045-9115 | 2014-09-11 |
| 1043631294 | Pareen Raj Lapsiwala | Family Medicine | 170 Changebridge Rd, Suite C-3, Montville, NJ 07045-9115 | 2013-12-13 |
| 1538406574 | Mary C Kannankeril Md.,pa | Psychiatry & Neurology | 170 Changebridge Rd, Suite B 3-4, Montville, NJ 07045-9115 | 2013-01-10 |
| 1699044305 | Kowalski Family Dental, P.C. | Dentist | 170 Changebridge Rd, Suite A2, Montville, NJ 07045-9115 | 2011-12-26 |
| 1457640534 | Roxanne N Kiupe | Massage Therapist | 170 Changebridge Rd, Unit A4 Suite 3, Montville, NJ 07045-9115 | 2011-03-29 |
| 1043473309 | Sandra Hoenig | Family Medicine | 170 Changebridge Rd, Suite C3, Montville, NJ 07045-9115 | 2008-07-08 |
| 1295993475 | Mary Jo Reid | Social Worker | 170 Changebridge Rd, Suite B 3-2, Montville, NJ 07045-9115 | 2008-05-24 |
| 1316145030 | Lisa Labrunda | Social Worker | 170 Changebridge Rd, Bldg B#, Montville, NJ 07045-9115 | 2007-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780160655 | Jkf Consulting | Psychologist | 120 Ridge Dr, Montville, NJ 07045 | 2018-07-13 |
| 1215466651 | Raymond Scott Giordano | Home Health Aide | 150 River Road Suite F1, Montville, NJ 07045 | 2017-06-08 |
| 1275942732 | Falcon Medical Corp | Ambulance | 10 Joan Dr, Montville, NJ 07045 | 2014-08-10 |
| 1467875708 | Alyssa Puorro | Chiropractor | 20 Cambray Road, Montville, NJ 07045 | 2014-01-22 |
| 1376985085 | Peaceful Journey | Counselor | 328 Changebridge Road, Montville, NJ 07045 | 2013-07-23 |
| 1457639908 | Ellen Marie Ruban | Social Worker | 390 Main Rd., Montville, NJ 07045 | 2011-08-02 |
| 1215251228 | Hetal Sojitra | Physical Therapist | 115 Horseneck Rd Ste 5, Montville, NJ 07045 | 2010-03-19 |
| 1447452693 | Tara Ann Gieger | Dental Hygienist | 140 River Road, Suite J-2, Montville, NJ 07045 | 2007-06-01 |
| 1023219565 | Joyce Levine Stern | Social Worker | 170 Changebridge Road, Suite C2, Montville, NJ 07045 | 2007-05-31 |
| 1174683478 | Montville Pharmacy Nj Corp | Pharmacy | 185 Changebridge Road, Montville, NJ 07045 | 2006-12-10 |
| Find all providers in zip 07045 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346716834 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 3830 Atlantic Avenue, Atlantic City, NJ 08401 | 2018-10-23 |
| 1942787981 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 63 Route 70 E, Evesham, NJ 08053-1749 | 2018-07-23 |
| 1750881082 | Qpharma Inc | Non-Pharmacy Dispensing Site | 1613 Route 47, Rio Grande, NJ 08242-1411 | 2018-02-13 |
| 1588187439 | Advanced Feet and Ankle Care | Non-Pharmacy Dispensing Site | 2477 County Rd 516, Old Bridge, NJ 08857-4603 | 2017-07-24 |
| 1275054967 | Nj Pain Care Specialists | Non-Pharmacy Dispensing Site | 1806 Route 35 Ste 305, Oakhurst, NJ 07755-2764 | 2017-07-03 |
| 1053855601 | Edward Magaziner, Md | Non-Pharmacy Dispensing Site | 2186 New Jersey 27, North Brunswick, NJ 08902 | 2016-12-15 |
| 1457701088 | Medical Art Center | Non-Pharmacy Dispensing Site | 950 State Route 35, Middletown, NJ 07748-2603 | 2016-06-14 |
| 1285080507 | Jersey Shore Sports Medicine, LLC | Non-Pharmacy Dispensing Site | 801 A Central Ave, Ocean City, NJ 08226 | 2016-05-05 |
| 1326493040 | Caligor Opco LLC | Non-Pharmacy Dispensing Site | 801 Penhorn Ave, Unit #4, Secaucus, NJ 07094-2150 | 2016-05-02 |
| 1972957660 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 1310 Blackwood Clementon Rd, Clementon, NJ 08021-5610 | 2016-04-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHANGEBRIDGE MEDICAL ASSOCIATES, PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.