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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Dominick Condo MD PA

Non-Pharmacy Dispensing Site in Bayonne, NJ · enumerated 2014 · authorized official Kenny Heine, Vp of Operations.

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

National Provider Identifier

1770904138

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Registry record

Entity type Organization (Type 2)
Legal business name Dominick Condo MD PA
Parent organization Medvantx, Inc
Practice address 622 Broadway, Bayonne, NJ, 07002
Phone (201) 436-2800
Enumeration date Jan 2, 2014
Last updated in NPPES Dec 10, 2015

Taxonomy & classification

332900000X Non-Pharmacy Dispensing Site Suppliers · License 25MA08097300 (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

What is the NPI number for Dominick Condo MD PA?
The NPI for Dominick Condo MD PA is 1770904138, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Dominick Condo MD PA?
NPPES lists Kenny Heine (Vp of Operations) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-12-10.