Atlanticare Regional Medical Center

Organization Active NPI Neurological Surgery Physician · Atlantic City, NJ

NPI 1255764841 · NPPES record last updated Aug 28, 2013

Key facts

NPI
1255764841
Entity type
Organization (NPI type 2)
Primary specialty
Neurological Surgery Physician 207T00000X
Legal business name
ATLANTICARE REGIONAL MEDICAL CENTER
Practice address
1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone
(609) 572-8600
NPI assigned
Aug 19, 2013
Organization subpart
No

Authorized official

Name
Mr. James P Nolan Jr.
Title
Senior VP Finance
Phone
(609) 569-7040

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 100

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 100

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140218000610 NJ Part B Supplier - Clinic/Group Practice 0648181578 Receives reassigned benefits from 14 practitioners
Practice locations: Atlantic City, NJ

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207T00000X Yes

Addresses

Primary practice location

1925 Pacific Ave
Atlantic City, NJ 08401-6713

Mailing address

1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone (609) 572-8600

Other names

  • ARMC Faculty Practice - Jefferson Neurosciences at AtlantiCare Doing business as

Other providers in Atlantic City, NJ

All providers in Atlantic City, NJ · Neurological Surgery Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.