NPIMap

Organization Active NPI

Atlantic Advanced Urgent Care

  • Emergency Medicine Physician
  • Morristown, NJ
National Provider Identifier
1104309277
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
ATLANTIC ADVANCED URGENT CARE
Practice address
465 South St Ste 200
Morristown, NJ 07960-6439
Phone
(973) 971-7225
Fax
(973) 898-3905
NPI assigned
Sep 13, 2018
Last updated
Jan 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Authorized official

Name
Steven SherisNPI 1629062187
Title
President
Phone
(973) 630-8980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

465 South St Ste 200
Morristown, NJ 07960-6439

Mailing address

465 South St Ste 200
Morristown, NJ 07960-6439

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190424000040 NJ Part B Supplier - Clinic/Group Practice 4385986330 Receives reassigned benefits from 68 practitioners
Practice locations: Bayonne, NJ; Paramus, NJ; Mountain Lakes, NJ; Clark, NJ

National Provider Directory

National Provider Directory

Locations

3025 Paramus Park Mall
Paramus, NJ 07652
Phone (201) 267-6891

Practitioners & affiliated clinicians

Practitioners 68

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 68

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1104309277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 SOUTH ST STE 200",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 SOUTH ST STE 200",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606439",
            "telephone_number": "973-971-7225",
            "fax_number": "973-898-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC ADVANCED URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "SHERIS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-630-8980"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.