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Bridgewater Medical Group PA

Non-Pharmacy Dispensing Site in Bridgewater, NJ · enumerated 2013 · authorized official Kenny Heine, Vp of Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255752044

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Registry record

Entity type Organization (Type 2)
Legal business name Bridgewater Medical Group PA
Other name <Unavail>
Parent organization Medvantx
Practice address 766 Us Highway 202/206, Bridgewater, NJ, 08807
Phone (908) 722-0808
Enumeration date Dec 20, 2013
Last updated in NPPES Dec 20, 2013

Taxonomy & classification

332900000X Non-Pharmacy Dispensing Site Suppliers · License 25MB05436000 (NJ) Primary

Authorized official

Name Kenny Heine
Title Vp of Operations
Phone (858) 964-1506

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Bridgewater Medical Group PA located?
The practice location on file with NPPES is in Bridgewater, NJ.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-12-20. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-12-20.