ATLANTICARE PHYSICIAN GROUP PA (NPI# 1578919460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578919460 |
| Entity Type | Organization |
| Organization Name | ATLANTICARE PHYSICIAN GROUP PA |
| Other Organization Name | ATLANTICARE URGENT CARE - MARMORA |
| Practice Address |
210 S Shore Rd Suite 201 Marmora NJ 08223-1200 |
| Mailing Address |
9276 Scranton Rd Suite 100 San Diego CA 92121-7701 |
| Practice Telephone | 6093903820 |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |
| 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 | 25MB04695400 | NJ | Suppliers |
| Other Name | Type Code |
|---|---|
| AtlantiCare Urgent Care - Marmora | 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 |
| 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 |
| 1093829608 | Atlanticare Physician Group Pa | Family Medicine | 2500 English Creek Ave, Suite 909, Egg Harbor Township, NJ 08234-5549 | 2006-08-19 |
| Street Address |
210 S SHORE RD SUITE 201 |
| City | MARMORA |
| State | NJ |
| Zip Code | 08223-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891782371 | Hemang U Dave | Internal Medicine | 210 S Shore Rd, Suite 106, Marmora, NJ 08223-1200 | 2005-09-30 |
| 1932750239 | Amanda Sue Brozoskie | Nurse Practitioner | 210 S Shore Rd, Marmora, NJ 08223-1200 | 2019-09-27 |
| 1720472319 | Kimberly Nell | Nurse Practitioner | 210 S Shore Rd, Ste 106, Marmora, NJ 08223-1200 | 2015-03-23 |
| 1407256498 | Rachel Nicole Hiester | Physical Therapist | 210 S Shore Rd, Suite 203, Marmora, NJ 08223-1200 | 2014-08-27 |
| 1518232586 | Regional Cancer Care Associates LLC | Internal Medicine | 210 S Shore Rd, Suite 106, Marmora, NJ 08223-1200 | 2012-03-09 |
| 1346512621 | Annie A. Farrow | Nurse Practitioner | 210 S Shore Rd, Ste. 106, Marmora, NJ 08223-1200 | 2012-02-02 |
| 1740410562 | Tiffany N Spoltore | Physical Therapist | 210 S Shore Rd, Suite 203, Marmora, NJ 08223-1200 | 2009-07-15 |
| 1467638734 | Ritchie Michael Carroll | Physical Therapist | 210 S Shore Rd, Suite 203, Marmora, NJ 08223-1200 | 2008-01-16 |
| 1871699256 | Kathryn Lego Wilkin | Nurse Practitioner | 210 S Shore Rd, Suite 106, Marmora, NJ 08223-1200 | 2006-09-15 |
| 1497768337 | Patrick S Eye | Nurse Practitioner | 210 S Shore Rd, Suite 201, Marmora, NJ 08223-1200 | 2006-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962909663 | Elizabeth Flores | Social Worker | 507 Route 9 South, Unit 10, Marmora, NJ 08223 | 2018-04-09 |
| 1790074607 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1 Us Route 9 South, Marmora, NJ 08223 | 2011-03-31 |
| 1306080825 | Village Super Market of Nj L P | Pharmacy | 4 West Roosevelt Ave, Marmora, NJ 08223 | 2009-04-28 |
| 1518165943 | Fahd Rahman | Internal Medicine | 210 South Shore Road. Suite 106, Hope Community Cancer Center, Marmora, NJ 08223 | 2007-07-06 |
| 1285664615 | Melissa Hutchison | Family Medicine | 210 S. Shore Road, Marmora, NJ 08223 | 2006-07-03 |
| 1497844534 | Ellen T Demoulin | Chiropractor | 52 Tuckahoe Rd, Marmora, NJ 08223 | 2006-10-12 |
| 1154746873 | Rachel Hunter | Occupational Therapist | 23 Ocean Ave, Marmora, NJ 08223-1007 | 2014-03-04 |
| 1588825657 | Gretchen Bridget Sheppard | Licensed Practical Nurse | 204 Seaside Ave, Marmora, NJ 08223-1033 | 2008-06-22 |
| 1093379646 | Laura Kathleen Verzi-aleszczyk | Behavioral Analyst | 612 Stagecoach Rd, Marmora, NJ 08223-1107 | 2019-04-30 |
| 1003820622 | Atlanticare Physician Group | Clinic/Center | 210 Route Us 9 S, Suite 201, Marmora, NJ 08223-1200 | 2006-07-28 |
| Find all providers in zip 08223 | ||||
| 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 |
|---|---|---|---|---|
| 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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| 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.