NPIMap

Organization Active NPI

Atlanticare Physician Group PA

  • Clinic/Center
  • Egg Harbor Township, NJ
National Provider Identifier
1093829608
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ATLANTICARE PHYSICIAN GROUP PA
Practice address
2500 English Creek Ave Ste 602
Egg Harbor Township, NJ 08234-5549
Phone
(800) 658-1010
NPI assigned
Aug 19, 2006
Last updated
Mar 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Cardiovascular Disease Physician 207RC0000X NU
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU
Gastroenterology Physician 207RG0100X NU
Medical Oncology Physician 207RX0202X NU
Obstetrics & Gynecology Physician 207V00000X NU
Surgery Physician 208600000X NU
Trauma Surgery Physician 2086S0127X NU
Vascular Surgery Physician 2086S0129X NU
Colon & Rectal Surgery Physician 208C00000X NU
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X NU
Hospitalist Physician 208M00000X NU
Clinic/Center 261Q00000X NU Primary
Urgent Care Clinic/Center 261QU0200X NU
Obesity Medicine (Internal Medicine) Physician 207RB0002X NU

Addresses

Primary practice location

2500 English Creek Ave Ste 602
Egg Harbor Township, NJ 08234-5549

Mailing address

2500 English Creek Ave
Building 600
Egg Harbor TWP, NJ 08234-5549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040218000405 NJ Part B Supplier - Clinic/Group Practice 8527953660 Receives reassigned benefits from 1,006 practitioners
2 other NPIs on this enrollment
O20170501000161 NJ Part B Supplier - Intensive Cardiac Rehabilitation 8527953660 Receives reassigned benefits from 19 practitioners
Practice locations: Egg Harbor Township, NJ

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2500 English Creek Ave
Bldg 700
Egg Harbor Township, NJ 08234
Phone (609) 407-2200

2500 English Creek Ave
Ste 1002
Egg Harbor Township, NJ 08234
Phone (609) 407-2310

2500 English Creek Ave
Ste 250
Egg Harbor Township, NJ 08234
Phone (609) 272-6326

2500 English Creek Ave
Bldg 600
Egg Harbor Twp, NJ 08234
Phone (609) 407-2337

2500 English Creek Ave
Ste 1000
Egg Harbor Twp, NJ 08234
Phone (609) 383-6400

415 Chris Gaupp Dr
Galloway, NJ 08205
Phone (609) 652-5577

1310 Blackwood Clementon Rd
Laurel Spgs, NJ 08021
Phone (609) 677-7200

3826 Bayshore Rd
North Cape May, NJ 08204
Phone (609) 390-9740

443 Shore Rd
Ste 101
Somers Point, NJ 08244
Phone (609) 569-7830

Practitioners & affiliated clinicians

Practitioners 1,036

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 1,036

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1093829608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE",
            "address_2": "BUILDING 600",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082345549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE STE 602",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345549",
            "telephone_number": "800-658-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTICARE PHYSICIAN GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.