Atlantic Health

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

ATLANTIC HEALTH

Practice address

120 Dorsa Avenue
Livingston, NJ 07039

Phone

(973) 422-7984

Fax

(973) 535-3920

NPI assigned

Dec 23, 2009

Organization subpart

Yes

Parent organization

ATLANTIC HEALTHAs reported in NPPES

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

Authorized official

Name

Mr. Andrew Louis Knach

Title

VP, HR & Cao

Phone

(973) 660-3125

Specialties & licenses 1

Addresses

Tax ID family

Atlantic Health System Inc2 organizations share this tax ID, including this one

Part of

Associates in Cardiovascular Disease New Providence

Other organizations with this tax ID 1

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

• Atlantic Health System Inc.

  • General Acute Care Hospital
  • Morristown, NJ
  • NPI 1437552049
  NPD tax ID

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1023347978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DORSA AVENUE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-422-7984",
            "fax_number": "973-535-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DORSA AVENUE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-422-7984",
            "fax_number": "973-535-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC HEALTH",
        "enumeration_date": "2009-12-23",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "KNACH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "VP, HR & CAO",
        "authorized_official_telephone_number": "973-660-3125",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Liliya Aulova, D.O.
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• Pharmacy in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.