Organization Active NPI

Atlanticare Physician Group, PA

Doing business as AtlantiCare Urgent Care

  • Urgent Care Clinic/Center
  • Galloway, NJ
National Provider Identifier
1003820622
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ATLANTICARE PHYSICIAN GROUP, PA
Doing business as
AtlantiCare Urgent Care
Practice address
110 E Jimmie Leeds Rd
Galloway, NJ 08205-9479
Phone
(609) 748-2100
Fax
(609) 748-2101
NPI assigned
Jul 28, 2006
Last updated
May 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robin Deshields
Title
Professional Rev Cycle Bus Partner
Phone
(609) 272-6860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

110 E Jimmie Leeds Rd
Galloway, NJ 08205-9479

Mailing address

2500 English Creek Ave BLDG 900
Egg Harbor Township, NJ 08234-5549
Phone (609) 407-2380

Other names 1

  • AtlantiCare Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040218000405 NJ Part B Supplier - Clinic/Group Practice 8527953660 Receives reassigned benefits from 1,006 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Atlanticare Physician Group PC22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

7 S Ohio Ave
Ste 2600
Atlantic City, NJ 08401
Phone (609) 404-4813

2778 Dune Dr
Ste 1
Avalon, NJ 08202
Phone (609) 368-1203

912 W Bay Ave
Barnegat, NJ 08005
Phone (609) 994-5660

106 Court House South Dennis Rd
Ste 200
Cape May Court House, NJ 08210
Phone (609) 465-0300

301 Stone Harbor Blvd
Cape May Court House, NJ 08210
Phone (609) 463-9797

2500 English Creek Ave
Ste 222
Egg Harbor Twp, NJ 08234
Phone (609) 382-5066

2500 English Creek Ave
Ste 909
Egg Harbor Twp, NJ 08234
Phone (609) 407-2380

219 N White Horse Pike
Ste 104
Hammonton, NJ 08037
Phone (609) 407-2332

1201 New Rd
#120
Linwood, NJ 08221
Phone (609) 927-7070

2106 New Rd
Ste C4
Linwood, NJ 08221
Phone (609) 404-9900

2110 New Rd
Ste 2
Linwood, NJ 08221
Phone (609) 383-6400

222 New Rd
Ste 101
Linwood, NJ 08221
Phone (609) 653-0505

547 Route 72 W
Manahawkin, NJ 08050
Phone (609) 597-3010

712 E Bay Ave
Ste 19
Manahawkin, NJ 08050
Phone (609) 597-3090

3131 Route 38
Ste 14
Mount Laurel, NJ 08054
Phone (856) 866-8700

650 Town Bank Rd
Unit 103
North Cape May, NJ 08204
Phone (609) 884-3680

201 West Ave
Ocean City, NJ 08226
Phone (609) 391-7500

927 N Main St
Ste B3
Pleasantville, NJ 08232
Phone (609) 645-3200

100 E Main St
Tuckerton, NJ 08087
Phone (609) 296-4014

6725 Ventnor Ave
Ste A
Ventnor City, NJ 08406
Phone (609) 487-0100

7313 Ventnor Ave
Ventnor City, NJ 08406
Phone (609) 441-2199

Practitioners & affiliated clinicians

Practitioners 968

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 968

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1003820622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE BLDG 900",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345549",
            "telephone_number": "609-407-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E JIMMIE LEEDS RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059479",
            "telephone_number": "609-748-2100",
            "fax_number": "609-748-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTICARE PHYSICIAN GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "DESHIELDS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "PROFESSIONAL REV CYCLE BUS PARTNER",
        "authorized_official_telephone_number": "609-272-6860"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AtlantiCare Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AtlantiCare Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.