NPIMap

Organization Active NPI

Atlanticare Regional Medical Center

  • General Acute Care Hospital
  • Pomona, NJ
National Provider Identifier
1013919315
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
10101 Issued in NJ
Legal business name
ATLANTICARE REGIONAL MEDICAL CENTER
Practice address
65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102
Phone
(609) 652-1000
NPI assigned
Jun 1, 2005
Last updated
Feb 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Hak J Kim
Title
Evp and Cfo
Phone
(609) 383-2117

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 10102 NJ
General Acute Care Hospital 282N00000X 10101 NJ Primary

Addresses

Primary practice location

65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102

Mailing address

65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102
Phone (609) 652-1000

Other identifiers 1

IdentifierTypeStateIssuer
4139402MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030716000018 NJ Part A Provider - Hospital 0648181578 Practice locations: Atlantic City, NJ; Pomona, NJ; Hammonton, NJ; Galloway, NJ; Egg Harbor Township, NJ; Cape May Court House, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013919315. Details of each certification follow.

Hospital certification: CCN 310064

Legal name
ATLANTICARE REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 16, 2023
Beds
593
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 16, 1964 in NJ
Enrollment address
65W Jimmie Leeds Rd
Pomona, NJ 82409102
Other Hospital Practice Location
Hospital subgroups
General

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Atlanticare Regional Medical Center - City CampusCCN 310064 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Pathology Atlantic City6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

106 Court House South Dennis Rd
Bldg 200
Cape May Court House, NJ 08210

214 W Jimmie Leeds Rd
Galloway, NJ 08205
Phone (609) 748-9900

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Priyesh T Thakkar Individual Corporate Director Mar 1, 2023
Margaret S Sykes Individual Corporate Director Mar 1, 2023
Hak Kim Individual W-2 Managing Employee May 1, 2014
Gina Merritt-Epps Individual Corporate Director Jan 1, 2018
Donna Michael-Ziereis Individual Corporate Director Mar 1, 2023
Brett Matik Individual Corporate Director Mar 18, 2021
Rosalind Kincaid Individual Corporate Director Mar 1, 2023
Marissa Travaline Individual Corporate Director Mar 18, 2021
Kenneth Steinberg Individual Corporate Director Mar 1, 2023
Jennifer Tioseco Individual Corporate Director Mar 1, 2023
Michael Charlton Individual Corporate Director Mar 1, 2023
Eugene Arnone Individual Corporate Director Mar 1, 2023
Javid Iqbal Individual Corporate Director Mar 4, 2021
Michael Walsh Individual Corporate Director Mar 18, 2021
David Goddard Individual Corporate Director Mar 1, 2023
Manuel Aponte Individual Corporate Director Mar 1, 2013
Pacifico Agnellini Individual Corporate Director Mar 1, 2023
Atlanticare Health System, Inc. Organization, Egg Harbor Township, NJ Non-profit Operational/Managerial Control Jan 1, 1993

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 167

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 167

Affiliated clinicians 756

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 756

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1013919315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 W JIMMIE LEEDS RD",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "082409102",
            "telephone_number": "609-652-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 W JIMMIE LEEDS RD",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "082409102",
            "telephone_number": "609-652-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTICARE REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HAK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EVP AND CFO",
        "authorized_official_telephone_number": "609-383-2117"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": "10102",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": "10101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4139402",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NJ

Sources for this page

Verify at the official NPI Registry.