NPIMap

Organization Active NPI

Atlanticare Urgent Care Physicians LLC

  • Urgent Care Clinic/Center
  • Sicklerville, NJ
National Provider Identifier
1083991616
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ATLANTICARE URGENT CARE PHYSICIANS LLC
Practice address
627 Berlin Cross Keys Rd
Sicklerville, NJ 08081-9562
Phone
(856) 728-8700
NPI assigned
Nov 10, 2011
Last updated
Apr 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Authorized official

Name
Robin G Deshields
Title
Professional Rev Cycle Bus Partner
Phone
(609) 272-6860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

627 Berlin Cross Keys Rd
Sicklerville, NJ 08081-9562

Mailing address

5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120113000486 NJ Part B Supplier - Clinic/Group Practice 3971770959 Receives reassigned benefits from 102 practitioners
Practice locations: Berlin Township, NJ; Mount Laurel, NJ; Sicklerville, NJ

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

248 S New York Rd
Galloway, NJ 08205
Phone (609) 404-3300

120 S White Horse Pike
Ste C7
Hammonton, NJ 08037

3131 Route 38
Ste 13
Mount Laurel, NJ 08054
Phone (856) 866-8700

627 Berlin Cross Keys Rd
Sicklerville, NJ 08081
Phone (856) 728-8700

255 N Route 73
West Berlin, NJ 08091
Phone (609) 569-7040

Practitioners & affiliated clinicians

Practitioners 130

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.

View all 130

NPI Registry JSON

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1083991616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 BERLIN CROSS KEYS RD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080819562",
            "telephone_number": "856-728-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTICARE URGENT CARE PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "DESHIELDS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PROFESSIONAL REV CYCLE BUS PARTNER",
        "authorized_official_telephone_number": "609-272-6860"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.