ATLANTICARE PHYSICIAN GROUP PA (NPI# 1093829608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093829608 |
| Entity Type | Organization |
| Organization Name | ATLANTICARE PHYSICIAN GROUP PA |
| Practice Address |
2500 English Creek Ave Suite 909 Egg Harbor Township NJ 08234-5549 |
| Mailing Address |
2500 English Creek Ave Building 600 Egg Harbor Twp NJ 08234-5549 |
| Practice Telephone | 6094072273 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2009-10-29 |
| Authorized Official Name | MR. DONALD J PARKER (PRESIDENT & CEO) |
| Authorized Official Telephone | 6092726393 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| 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 |
| 1083000707 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 110 E Jimmie Leeds Rd, Galloway, NJ 08205-9508 | 2015-04-09 |
| 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 |
| Street Address |
2500 ENGLISH CREEK AVE SUITE 909 |
| City | EGG HARBOR TOWNSHIP |
| State | NJ |
| Zip Code | 08234-5549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790325686 | Gabriele Cuna | Physician Assistant | 2500 English Creek Ave, Egg Harbor Township, NJ 08234-5549 | 2020-01-08 |
| 1952940686 | Phillip Carlyle Cobrand | Advanced Practice Midwife | 2500 English Creek Ave, Egg Harbor Township, NJ 08234-5549 | 2019-12-28 |
| 1932745759 | Susan M Federico | Obstetrics & Gynecology | 2500 English Creek Ave, Suite 604, Egg Harbor Township, NJ 08234 | 2019-11-27 |
| 1891350880 | Jennifer Lynn O'donnell | Nurse Practitioner | 2500 English Creek Ave, Egg Harbor Township, NJ 08234-5549 | 2019-05-05 |
| 1992369458 | Dimyana Ata | Physician Assistant | 2500 English Creek Ave, Egg Harbor Township, NJ 08234-5549 | 2019-04-30 |
| 1174099675 | Christine Angela Droney | Social Worker | 2500 English Creek Ave, Egg Harbor Township, NJ 08234-5549 | 2018-10-23 |
| 1043741663 | Jersey Shore Gastoenterology | Non-Pharmacy Dispensing Site | 2500 English Creek Ave, Suite 903, Egg Harbor Township, NJ 08234-5549 | 2017-03-24 |
| 1588017255 | Ciara Nicole Beck | Dietitian, Registered | 2500 English Creek Ave, Building 1300, Egg Harbor Township, NJ 08234-5549 | 2016-07-19 |
| 1326401373 | Nicole Carone | Physician Assistant | 2500 English Creek Ave, Building 800, Egg Harbor Township, NJ 08234-5549 | 2016-03-29 |
| 1194199265 | Leah Ann Ricciardi | Nurse Practitioner | 2500 English Creek Ave, Bld. 200. Suite 214, Egg Harbor Township, NJ 08234-5549 | 2015-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073007928 | Black Horse Alr LLC | Clinic/Center | 6817 Black Horse Pike, Egg Harbor Township, NJ 08234 | 2018-06-14 |
| 1548762016 | Rebecca Flanigan | Dietitian, Registered | 2500 English Creek Ave. Building 800, Egg Harbor Township, NJ 08234 | 2018-03-01 |
| 1386164143 | Community Quest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Apartment 312 400 Manor Drive, Absecon, NJ 08234 | 2017-06-22 |
| 1639607740 | Swarnalata Debbarma | Psychiatry & Neurology | Atlanticare Behavioral Health, Inc, Egg Harbor Twp., NJ 08234 | 2017-06-02 |
| 1164956751 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Waverly Road, Cardiff, NJ 08234 | 2017-04-20 |
| 1417481003 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 409 Dogwood Lane, Egg Harbor Township, NJ 08234 | 2017-04-20 |
| 1073047668 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Stone Mill Court, Egg Harbor Township, NJ 08234 | 2017-04-20 |
| 1831623412 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Springfield Avenue, Mc Kee City, NJ 08234 | 2017-04-20 |
| 1821453234 | Community Quest | Respite Care | 6814 Tilton Road, Egg Harbor Township, NJ 08234 | 2015-12-30 |
| 1023481074 | Caringhouse Projects, Inc | Respite Care | 15 Erma Drive, Egg Harbor Township, NJ 08234 | 2015-11-12 |
| Find all providers in zip 08234 | ||||
| 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). |
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| 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 |
| Find all providers with the same taxonomy | ||||
| City | EGG HARBOR TOWNSHIP |
| Zip Code | 08234 |
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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.