ATLANTICARE PHYSICIAN GROUP PA


Address: 110 E Jimmie Leeds Rd, Galloway, NJ 08205-9508
Phone: 6097482100

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).

Provider Overview

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.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site 25MB05380400 NJ Suppliers

Other Provider/Organization Names

Other Name Type Code
AtlantiCare Urgent Care- Galloway Township Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 110 E JIMMIE LEEDS RD
City GALLOWAY
State NJ
Zip Code 08205-9508

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City GALLOWAY
Zip Code 08205

Improve Information

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Dataset Information

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.

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