NPIMap

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
Last updated
May 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ATLANTIC HEALTH PARTNERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

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

Specialties & licenses 1

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

Addresses

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

National Provider Directory

National Provider Directory
Tax ID family
Atlantic Health Partners11 organizations share this tax ID, including this one
Part of
Atlantic Health Partners

Other organizations with this tax ID 10

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

Locations

223 W Main St
Ste 1B
Boonton, NJ 07005
Phone (973) 402-1973

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 3

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": "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.