Organization Active NPI

Atlantic Medical, LLC

  • Internal Medicine Physician
  • Neptune, NJ
National Provider Identifier
1033354030
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA079394 Issued in NJ
Legal business name
ATLANTIC MEDICAL, LLC
Practice address
1820 Corlies Ave
Suite 7
Neptune, NJ 07753-4860
Phone
(732) 927-5541
Fax
(732) 946-2674
NPI assigned
Dec 5, 2008
Last updated
Mar 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Dr. Tong K Hao, MD, PHDNPI 1023085263
Title
Ceo
Phone
(908) 670-0952

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA079394 NJ Primary

Addresses

Primary practice location

1820 Corlies Ave
Suite 7
Neptune, NJ 07753-4860

Mailing address

402 New Castle CT
Morganville, NJ 07751-4256
Phone (908) 670-0952

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090211000050 NJ Part B Supplier - Clinic/Group Practice 6305901182 Receives reassigned benefits from 4 practitioners
Practice locations: Neptune, NJ

National Provider Directory

National Provider Directory

Locations

1820 Corlies Ave
Ste 7
Neptune, NJ 07753
Phone (732) 775-6664

1500 Allaire Ave
Ste 203B
Ocean, NJ 07712
Phone (732) 407-9309

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1033354030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 NEW CASTLE CT",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077514256",
            "telephone_number": "908-670-0952",
            "fax_number": "732-946-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 CORLIES AVE",
            "address_2": "SUITE 7",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534860",
            "telephone_number": "732-927-5541",
            "fax_number": "732-946-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-05",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "HAO",
        "authorized_official_first_name": "TONG",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-670-0952",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA079394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.