ATLANTICARE HEALTH SERVICES INC. (NPI# 1043700495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043700495 |
| Entity Type | Organization |
| Organization Name | ATLANTICARE HEALTH SERVICES INC. |
| Other Organization Name | ATLANTICARE MISSION HEALTH CARE GALLOWAY |
| Practice Address |
54 W Jimmie Leeds Rd Galloway NJ 08205-9438 |
| Mailing Address |
65 W Jimmie Leeds Rd Attn Finance J Hoke Pomona NJ 08240 |
| Practice Telephone | 6094047300 |
| Practice Fax Number | 6095726008 |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-05-11 |
| Authorized Official Name | MS. SANDY FESTA (EXEC DIR FQHC) |
| Authorized Official Telephone | 6095726051 |
| Is Organization Subpart | Y |
| Parent Organization Name | ATLANTICARE HEALTH SERVICES INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0028592 | 05 |
| Other Name | Type Code |
|---|---|
| AtlantiCare Mission Health Care Galloway | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538243845 | Atlanticare Health Services Inc. | Home Infusion | 1406 Doughty Rd, Second Floor, Egg Harbor Township, NJ 08234-5637 | 2006-10-24 |
| 1710061015 | Atlanticare Health Services Inc. | Durable Medical Equipment & Medical Supplies | 1406 Doughty Rd, Second Floor, Egg Harbor Township, NJ 08234-5637 | 2006-10-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ATLANTICARE HEALTH SERVICES INC | 2500 English Creek Ave Ste 602, Egg Harbor Township, NJ 08234-5549 |
| Street Address |
54 W JIMMIE LEEDS RD |
| City | GALLOWAY |
| State | NJ |
| Zip Code | 08205-9438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427031681 | Nasser Eldien Borai | Internal Medicine | 54 W Jimmie Leeds Rd, Suites 11 & 12, Galloway, NJ 08205-9401 | 2005-11-22 |
| 1922647452 | Sherry Lynn Pharo | Nurse Practitioner | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9438 | 2020-01-01 |
| 1538513262 | Moomal Memon | Internal Medicine | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9438 | 2016-04-19 |
| 1982010468 | Heart Health Center | Clinic/Center | 54 W Jimmie Leeds Rd, Suite # 14, Galloway, NJ 08205-9438 | 2014-07-07 |
| 1003249087 | Atlantic Oncology Associates, LLC | Internal Medicine | 54 W Jimmie Leeds Rd, Suite 11, Galloway, NJ 08205-9438 | 2013-08-14 |
| 1720365067 | Michael Peter Barone | Pharmacist | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9438 | 2011-11-15 |
| 1043597859 | Brigita Ann Kelsey | Pharmacist | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9438 | 2011-11-08 |
| 1518244680 | Anthony F Graziano | Pharmacist | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9438 | 2011-11-03 |
| 1952680100 | Shore Oral and Maxillofacial Surgery, LLC | Dentist | 54 W Jimmie Leeds Rd, Suite 6, Galloway, NJ 08205-9438 | 2011-08-05 |
| 1558650242 | Heart First Center LLC | Internal Medicine | 54 W Jimmie Leeds Rd, Suite 14, Galloway, NJ 08205-9438 | 2011-04-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942834973 | Foot & Ankle Center of Sj | Podiatrist | 408 Chris Gaupp Dr Ste 300, Galloway, NJ 08205 | 2020-02-28 |
| 1922640747 | Eve Atwell | Physical Therapist | 323 S. Pitney Rd, Galloway, NJ 08205 | 2019-10-14 |
| 1558911560 | Marcelo Pantaleon Alfaro Jr. | Non-emergency Medical Transport (VAN) | 403 Ebony Tree Ave., Galloway, NJ 08205 | 2019-09-12 |
| 1194374504 | Marsha J Brown | Technician | 27 Brampton St, Galloway, NJ 08205 | 2019-09-09 |
| 1790246296 | Jennifer Cella-roe | Social Worker | 309 S New York Rd Ste 10, Galloway, NJ 08205 | 2019-03-27 |
| 1952881450 | Center for Family Services, Inc. | Community/Behavioral Health | 312 East White Horse Pike, Absecon, NJ 08205 | 2018-08-15 |
| 1780178707 | Atlantic Community Charter School | Case Management | 112 South New York Rd, Galloway, NJ 08205 | 2018-06-22 |
| 1467985952 | Brian Pauling | Chiropractor | 506 S. New York Rd., Galloway, NJ 08205 | 2017-04-11 |
| 1598118903 | Career Opportunity Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 Jim Leeds Road, Galloway, NJ 08205 | 2016-07-20 |
| 1033582085 | Caringhouse Projects, Inc | Respite Care | 506 2nd Avenue, Galloway, NJ 08205 | 2015-11-12 |
| Find all providers in zip 08205 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033500301 | Helping Hand Behavioral Health Corp | Clinic/Center | 318 S Pitney Rd, Galloway, NJ 08205-9628 | 2015-02-09 |
| 1679978035 | Helping Hand Behavioral Health Corp | Clinic/Center | 318 S Pitney Rd, Galloway, NJ 08205-9628 | 2014-10-28 |
| 1174877757 | S.o.b Health System LLC | Clinic/Center | 335 E Jimmie Leeds Rd, Suite A, Galloway, NJ 08205-4127 | 2012-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073318 | West New York Healing Center Corp | Clinic/Center | 5300 Bergenline Ave Ste 304, West New York, NJ 07093-5616 | 2020-11-07 |
| 1194354407 | Recover Physical Therapy | Clinic/Center | 1501 Old Black Horse Pike Apt F9, Blackwood, NJ 08012-4927 | 2020-04-07 |
| 1154950657 | Real House Inc. | Clinic/Center | 1089-91 East Jersey Street, Elizabeth, NJ 07201 | 2020-04-06 |
| 1205464823 | Fulcrum Performance Lab, LLC | Clinic/Center | 75 S Maple Ave, Marlton, NJ 08053-2032 | 2020-03-30 |
| 1215563887 | Dr Cloyd's Clinical Psychology and Neuropsychology Practice Pllc | Clinic/Center | 1209 Route 70 W, Cherry Hill, NJ 08002-3532 | 2020-03-16 |
| 1144860271 | Sentarus Healthcare Solutions Inc | Clinic/Center | 736 S White Horse Pike, Audubon, NJ 08106-1346 | 2020-01-07 |
| 1497303044 | Sanni Ojibara Training Academy | Clinic/Center | 104 Hillside Ter, Irvington, NJ 07111-1514 | 2019-08-27 |
| 1457907404 | Vitality Wellness Group LLC | Clinic/Center | 1000 Sanger Ave Ste 211, Oceanport, NJ 07757-1241 | 2019-08-15 |
| 1760034292 | Optimally Nourished LLC | Clinic/Center | 303 Belmont Ave Ste 2, Belleville, NJ 07109-1103 | 2019-07-15 |
| 1881246676 | Acenda, Inc. | Clinic/Center | 1129 Route 9 S, Cape May Court House, NJ 08210-2752 | 2019-07-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.