Active NPI
Atlantic Rheumatology PC
- Rheumatology Physician
- Pleasantville, NJ
National Provider Identifier
1063477909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- Legal business name
- ATLANTIC RHEUMATOLOGY PC
- Practice address
- 927 N Main St
Unit B3
Pleasantville, NJ 08232 - Phone
- (609) 645-3200
- Fax
- (609) 645-3144
- NPI assigned
- Apr 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ana M Cilursu, MD
- Title
- President
- Phone
- (609) 645-3200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | Primary |
Addresses
Primary practice location
927 N Main St
Unit B3
Pleasantville, NJ 08232
Mailing address
PO Box 723
Bridgeton, NJ 08302
Phone (609) 645-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5074501 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1063477909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 723",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "08302",
"telephone_number": "609-645-3200",
"fax_number": "609-645-3144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 N MAIN ST",
"address_2": "UNIT B3",
"city": "PLEASANTVILLE",
"state": "NJ",
"postal_code": "08232",
"telephone_number": "609-645-3200",
"fax_number": "609-645-3144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC RHEUMATOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CILURSU",
"authorized_official_first_name": "ANA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "609-645-3200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5074501",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pleasantville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.