UNITED STATES COAST GUARD, AIR STATION ATLANTIC CITY (NPI# 1962660340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962660340 |
| Entity Type | Organization |
| Organization Name | UNITED STATES COAST GUARD, AIR STATION ATLANTIC CITY |
| Practice Address |
Faa Tech Center Bldg 350 Uscg Medical Dept Pomona NJ 08405 |
| Practice Telephone | 6096772007 |
| Practice Fax Number | 6096772143 |
| Mailing Telephone | 6096772007 |
| Mailing Fax Number | 6096772143 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |
| Authorized Official Name | CAMILLE P HAWKINS (MEDICAL OFFICER) |
| Authorized Official Telephone | 6096772028 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities |
| Street Address |
FAA TECH CENTER BLDG 350 USCG MEDICAL DEPT |
| City | POMONA |
| State | NJ |
| Zip Code | 08405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104011667 | Atlantic City Uscg Phcy | Military/U.S. Coast Guard Pharmacy | Amelia Earhart Road, Bldg 350, Atlantic City, NJ 08405-0001 | 2007-09-07 |
| 1144363383 | Hassan Kareem | Technician, Other | Us Cg Air Station Atlantic City, Faa Tech Center Bldg 350 (medical), Atlantic City, NJ 08405-0001 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800958 | Debra Lynn Villar | Counselor | 85 Crystal Hill Dr, Pomona, NY 10970-2602 | 2020-10-28 |
| 1851999494 | Justine Arce | Massage Therapist | 2063 Rancho Valley Drive Suite 320 #208, Pomona, CA 91766 | 2020-10-15 |
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1942817804 | La Vista Health | Obstetrics & Gynecology | 180 W Willow St Unit 3, Pomona, CA 91768-1800 | 2020-09-24 |
| 1194330316 | Ilaria Cipolla | Massage Therapist | 2013 Las Vegas Ave Apt 10, Pomona, CA 91767-2770 | 2020-09-14 |
| 1558976472 | Heidi Marie Schlig | Counselor | 420 Portafino Ct Apt 204, Pomona, CA 91766-0926 | 2020-09-09 |
| 1326653262 | Fernando Iniguez | Community/Behavioral Health | 404 W Alvarado St, Pomona, CA 91768-3015 | 2020-09-08 |
| 1194339143 | Kyungyeon Kim | Dietitian, Registered | 1770 Rockview Way, Pomona, CA 91766-5285 | 2020-09-06 |
| 1184237315 | Naomi Friedman | Speech-Language Pathologist | 5 Hobbs Ct, Pomona, NY 10970-2640 | 2020-08-27 |
| 1679185847 | Open Door Counseling Licensed Clinical Social Worker Agencies Inc | Social Worker | 436 W 4th St Ste 220, Pomona, CA 91766-1623 | 2020-08-19 |
| Find all providers in POMONA | ||||
| Taxonomy Code | 261QM1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military/U.S. Coast Guard Outpatient |
| The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952509812 | Branch Medical Clinic Lakehurst | Clinic/Center | Bldg 39 Landsdowne Road, Lakehurst, NJ 08733-5006 | 2007-07-03 |
| 1275747149 | Keller Army Community Hospital | Clinic/Center | 5631 Baltimore St, Fort Dix, NJ 08640-5440 | 2007-05-10 |
| 1912006685 | Keller Army Community Hospital | Clinic/Center | Bldg. 1075 Stephenson Ave., Ft. Monmouth, NJ 07703 | 2006-09-21 |
| 1528245271 | Uscg Clinic Cape May | Clinic/Center | 1 Munro Ave, Health Services Division, Cape May, NJ 08204-5000 | 2008-01-24 |
| 1477750990 | Branch Medical Clinic Earle | Clinic/Center | 201 State Route 34 S, Colts Neck, NJ 07722-1902 | 2007-06-28 |
| 1124223235 | Keller Army Community Hospital | Clinic/Center | 5660 Doughboy Loop, Fort Dix, NJ 08640 | 2007-06-19 |
| 1205031770 | Keller Army Community Hospital | Clinic/Center | 1075 Stephenson Ave, Usadc, Fort Monmouth, NJ 07703-1518 | 2007-06-15 |
| 1972667228 | Uscg Samuel J Call Health Services | Clinic/Center | 1 Munro Ave, Cape May, NJ 08204-5000 | 2006-12-21 |
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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.