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Marcellus Family Medicine Pllc

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

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

National Provider Identifier

1558791996

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Registry record

Entity type Organization (Type 2)
Legal business name Marcellus Family Medicine Pllc
Other name <Unavail>
Parent organization Medvantx, Inc.
Practice address 28 E Main St, Marcellus, NY, 13108
Phone (315) 673-9926
Enumeration date Nov 21, 2013
Last updated in NPPES Nov 21, 2013

Taxonomy & classification

332900000X Non-Pharmacy Dispensing Site Suppliers · License 127430 (NY) 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

What is the NPI number for Marcellus Family Medicine Pllc?
The NPI for Marcellus Family Medicine Pllc is 1558791996, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Marcellus Family Medicine Pllc?
NPPES lists Kenny Heine (Vp of Operations) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-11-21.