Organization Active NPI

Atlantic Health Partners

  • Podiatrist
  • Boonton, NJ
National Provider Identifier
1043059207
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ATLANTIC HEALTH PARTNERS
Practice address
223 W Main St Ste 1B
Boonton, NJ 07005-1165
Phone
(973) 402-1973
NPI assigned
May 20, 2024
Organization subpart
Yes
Parent organization
ATLANTIC HEALTH PARTNERS, LLCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Steven Jay Sheris, MD
Title
President
Phone
(973) 630-8947

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 10

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Atlantic Health Partners (11 organizations share this tax ID)
Part of
Atlantic Health Partners

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

223 W Main St Ste 1B
Boonton, NJ 07005-1165

Mailing address

PO Box 95000
Philadelphia, PA 19195-7550
Phone (844) 362-1735

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 20, 2024.

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1043059207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191957550",
            "telephone_number": "844-362-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W MAIN ST STE 1B",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070051165",
            "telephone_number": "973-402-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC HEALTH PARTNERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC HEALTH PARTNERS, LLC",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "SHERIS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-630-8947",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.