ATLANTICARE PHYSICIAN GROUP PA (NPI# 1255787404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255787404 |
| Entity Type | Organization |
| Organization Name | ATLANTICARE PHYSICIAN GROUP PA |
| Other Organization Name | ATLANTICARE URGENT CARE - LITTLE EGG HARBOR |
| Practice Address |
459 Route 9 S Little Egg Harbor Twp NJ 08087-2225 |
| Mailing Address |
9276 Scranton Rd Suite 100 San Diego CA 92121-7701 |
| Practice Telephone | 6094072273 |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |
| 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 | 25MA05773200 | NJ | Suppliers |
| Other Name | Type Code |
|---|---|
| AtlantiCare Urgent Care - Little Egg Harbor | 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 |
| 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 |
| 1093829608 | Atlanticare Physician Group Pa | Family Medicine | 2500 English Creek Ave, Suite 909, Egg Harbor Township, NJ 08234-5549 | 2006-08-19 |
| Street Address |
459 ROUTE 9 S |
| City | LITTLE EGG HARBOR TWP |
| State | NJ |
| Zip Code | 08087-2225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982013736 | Atlanticare Physician Group, Pa | Clinic/Center | 459 Route 9 S, Little Egg Harbor Twp, NJ 08087-2225 | 2014-08-06 |
| 1396881447 | William H Berlin | Family Medicine | 459 Route 9 S, Little Egg Harbor Twp, NJ 08087-2225 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932610300 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 425 Us 9, Tuckerton, NJ 08087 | 2017-10-12 |
| 1679083877 | Tiffany Wild | Speech-Language Pathologist | 324 Frog Pond Rd, Little Egg Harbor Township, NJ 08087 | 2017-10-03 |
| 1124570098 | Dana Nicole Luciano | Physician Assistant | 798 County Road #539, #3, Little Egg Harbor Township, NJ 08087 | 2016-10-26 |
| 1235598616 | Ocean Health Initiatives,inc | General Practice | 798 County Road 539, Little Egg Harbor, NJ 08087 | 2016-02-15 |
| 1093159253 | Terraces At Seacrest Village LLC | Assisted Living Facility | 281 Mathistown Road, Little Egg Harbor Township, NJ 08087 | 2013-04-18 |
| 1023390762 | Gerri Hoegler | Counselor | 1064 S. Main St. Unit 206, West Creek, NJ 08087 | 2011-09-19 |
| 1437366572 | Walgreens Pharmacy | Pharmacy | 201 Mathistown Road, Little Egg Harbor, NJ 08087 | 2007-05-17 |
| 1669599957 | Paul Damian Lauria | Chiropractor | 871 Radio Rd, Little Egg Harbor, NJ 08087 | 2007-03-23 |
| 1528196276 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 201 Mathistown Rd, Little Egg Harbor Twp, NJ 08087 | 2007-03-02 |
| 1083752216 | Mystic Pharmacy Inc | Pharmacy | 972 Radio Rd, Little Egg Harbor, NJ 08087 | 2007-02-01 |
| Find all providers in zip 08087 | ||||
| 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 |
|---|---|---|---|---|
| 1992041107 | Family Medicine Center | Non-Pharmacy Dispensing Site | 279 Mathistown Rd, Little Egg Harbor Twp, NJ 08087-4021 | 2012-12-14 |
| 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 | ||||
| City | LITTLE EGG HARBOR TWP |
| Zip Code | 08087 |
Please comment or provide details below to improve the information on ATLANTICARE PHYSICIAN GROUP PA.
| 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.