Organization Active NPI

Practice Associates Medical Group

  • Non-Pharmacy Dispensing Site
  • Springfield, NJ
National Provider Identifier
1245523869
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
PRACTICE ASSOCIATES MEDICAL GROUP
Practice address
385 Morris Ave
Suite 100
Springfield, NJ 07081-1151
Phone
(973) 379-2111
Fax
(973) 379-2807
NPI assigned
May 17, 2011
Organization subpart
Yes
Parent organization
PRACTICE ASSOCIATES MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Christopher Aloyce Herzog
Title
Chief Operating Officer
Phone
(973) 829-4320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

385 Morris Ave
Suite 100
Springfield, NJ 07081-1151

Mailing address

PO Box 416457
Boston, MA 02241-6457
Phone (844) 362-1735

Other names 3

  • Atlantic Medical Group Doing business as
  • Advanced Care Oncology and Hematology Associates, LLC Former legal business name
  • AMG Oncology Physician Dispensary Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2030276Advanced Care Oncology &385 Morris Ave, Springfield, NJ 07081ComplianceJul 31, 2026

National Provider Directory

National Provider Directory
Part of
Ahs

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1245523869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 MORRIS AVE",
            "address_2": "SUITE 100",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811151",
            "telephone_number": "973-379-2111",
            "fax_number": "973-379-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICE ASSOCIATES MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRACTICE ASSOCIATES MEDICAL GROUP",
        "enumeration_date": "2011-05-17",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ALOYCE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "973-829-4320"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Care Oncology and Hematology Associates, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "AMG Oncology Physician Dispensary",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.