Atlantic OB GYN Group PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA02700900 Issued in NJ

Legal business name

ATLANTIC OB GYN GROUP PA

Practice address

501 Bay Ave
Suite 201
Somers Point, NJ 08244-2553

Phone

(609) 927-3828

Fax

(609) 926-8067

NPI assigned

Sep 24, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas V Gregory, MDNPI 1801996301

Title

President

Phone

(609) 927-3828

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Thomas Vincent Gregory, M.D.

  • Specialist
  • Somers Point, NJ
  • NPI 1801996301
  NPD (past) Authorized official
• James Joseph Phillips, M.D.

  • Specialist
  • Somers Point, NJ
  • NPI 1134220098
  NPD (past)

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235239732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ARBOR CT E",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BAY AVE",
            "address_2": "SUITE 201",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442553",
            "telephone_number": "609-927-3828",
            "fax_number": "609-926-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC OB GYN GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-927-3828",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA02700900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0099329000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Somers Point, NJ
• Providers in Somers Point, NJ by specialty
• Specialist in New Jersey

• 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.

Verify at the official NPI Registry.