# HEATHPOINT MEDICAL GROUP OF KEYPORT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790821692
- **Authorized official:** DR. ROGER LALLEMAND JR. MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (732) 613-1000

## Contact information

- **Practice address:** 39 W FRONT ST, KEYPORT, NJ 07735-1209
- **Practice address phone:** (732) 264-2224
- **Practice address fax:** (732) 264-4291
- **Mailing address:** 158 W 27TH ST, 11TH FLOOR SOUTH, NEW YORK, NY 10001-6216
- **Mailing address phone:** (212) 563-2497
- **Mailing address fax:** (212) 563-0605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 04/13/2009