Healthcare Provider Details

I. General information

NPI: 1851321004
Provider Name (Legal Business Name): HEALTHPOINT MEDICAL GRP. OF KEYPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 43 W FRONT STREET
KEYPORT NJ
07726
US

IV. Provider business mailing address

39 43 W FRONT STREET
KEYPORT NJ
07726
US

V. Phone/Fax

Practice location:
  • Phone: 732-613-1000
  • Fax:
Mailing address:
  • Phone: 732-613-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROGER LALLEMAND, JR.
Title or Position: OWNER
Credential: MD
Phone: 732-613-1000