ATLANTICARE PHYSICIAN GROUP PA (NPI# 1083000707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083000707 |
Entity Type | Organization |
Organization Name | ATLANTICARE PHYSICIAN GROUP PA |
Other Organization Name | ATLANTICARE URGENT CARE- GALLOWAY TOWNSHIP |
Practice Address |
110 E Jimmie Leeds Rd Galloway NJ 08205-9508 |
Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
Practice Telephone | 6097482100 |
Enumeration Date | 2015-04-09 |
Last Update Date | 2015-04-29 |
Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
Authorized Official Telephone | 8589641506 |
Is Organization Subpart | Y |
Parent Organization Name | MEDVANTX, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | 25MB05380400 | NJ | Suppliers |
Other Name | Type Code |
---|---|
AtlantiCare Urgent Care- Galloway Township | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972957660 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 1310 Blackwood Clementon Rd, Clementon, NJ 08021-5610 | 2016-04-19 |
1578919460 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 210 S Shore Rd, Suite 201, Marmora, NJ 08223-1200 | 2016-05-10 |
1891141057 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 120 S White Horse Pike, Hammonton, NJ 08037-1804 | 2016-05-06 |
1255787404 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 459 Route 9 S, Little Egg Harbor Twp, NJ 08087-2225 | 2016-05-06 |
1073909792 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 443 Shore Rd, Suite 103, Somers Point, NJ 08244-2642 | 2015-04-09 |
1922490721 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 2500 English Creek Ave, Bldg 900 Suite 909, Egg Harbor Township, NJ 08234-5549 | 2015-03-03 |
1093829608 | Atlanticare Physician Group Pa | Family Medicine | 2500 English Creek Ave, Suite 909, Egg Harbor Township, NJ 08234-5549 | 2006-08-19 |
Street Address |
110 E JIMMIE LEEDS RD |
City | GALLOWAY |
State | NJ |
Zip Code | 08205-9508 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437310075 | Atlantic Sleep Health Diagnostic Associates LLC | Internal Medicine | 110 E Jimmie Leeds Rd, Galloway, NJ 08205-9508 | 2008-06-17 |
1649810052 | Rebecca K Watkins | Specialist/Technologist, Other | 110 E Jimmie Leeds Rd, Galloway, NJ 08205-9479 | 2020-01-14 |
1104069111 | Galloway Urgent Care Physicians LLC | Clinic/Center | 110 E Jimmie Leeds Rd, Galloway, NJ 08205-9508 | 2009-04-07 |
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 | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891144234 | Ra Pain Services Pa | Non-Pharmacy Dispensing Site | 506 S New York Rd, Galloway, NJ 08205-9761 | 2016-06-07 |
1750744827 | Shore Orthopedic University Associates Pa | Non-Pharmacy Dispensing Site | 18 E Jimmie Leeds Rd, Galloway, NJ 08205-9510 | 2016-04-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346716834 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 3830 Atlantic Avenue, Atlantic City, NJ 08401 | 2018-10-23 |
1942787981 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 63 Route 70 E, Evesham, NJ 08053-1749 | 2018-07-23 |
1750881082 | Qpharma Inc | Non-Pharmacy Dispensing Site | 1613 Route 47, Rio Grande, NJ 08242-1411 | 2018-02-13 |
1588187439 | Advanced Feet and Ankle Care | Non-Pharmacy Dispensing Site | 2477 County Rd 516, Old Bridge, NJ 08857-4603 | 2017-07-24 |
1275054967 | Nj Pain Care Specialists | Non-Pharmacy Dispensing Site | 1806 Route 35 Ste 305, Oakhurst, NJ 07755-2764 | 2017-07-03 |
1053855601 | Edward Magaziner, Md | Non-Pharmacy Dispensing Site | 2186 New Jersey 27, North Brunswick, NJ 08902 | 2016-12-15 |
1457701088 | Medical Art Center | Non-Pharmacy Dispensing Site | 950 State Route 35, Middletown, NJ 07748-2603 | 2016-06-14 |
1285080507 | Jersey Shore Sports Medicine, LLC | Non-Pharmacy Dispensing Site | 801 A Central Ave, Ocean City, NJ 08226 | 2016-05-05 |
1326493040 | Caligor Opco LLC | Non-Pharmacy Dispensing Site | 801 Penhorn Ave, Unit #4, Secaucus, NJ 07094-2150 | 2016-05-02 |
1972957660 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 1310 Blackwood Clementon Rd, Clementon, NJ 08021-5610 | 2016-04-19 |
Find all providers with the same taxonomy |
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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.