Atlanticare Physician Group PA
Organization Active NPI Non-Pharmacy Dispensing Site · Little Egg Harbor TWP, NJ
NPI 1255787404 · NPPES record last updated May 6, 2016
Key facts
- NPI
- 1255787404
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-Pharmacy Dispensing Site 332900000X
- License
- 25MA05773200 (NJ)
- Legal business name
- ATLANTICARE PHYSICIAN GROUP PA
- Practice address
- 459 Route 9 S
Little Egg Harbor TWP, NJ 08087-2225 - Phone
- (609) 407-2273
- NPI assigned
- May 6, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- MEDVANTX, INC.
Authorized official
- Name
- Kenny Heine
- Title
- VP of Operations
- Phone
- (858) 964-1506
Corporate family (same tax ID) 21
National Provider Directory
- Tax ID family
- Atlanitcare Physician Group
- Part of
- Tri - State Medical Group Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | 25MA05773200 | NJ | Yes |
Addresses
Primary practice location
459 Route 9 S
Little Egg Harbor TWP, NJ 08087-2225
Mailing address
9276 Scranton Rd
Suite 100
San Diego, CA 92121-7701
Other names
- AtlantiCare Urgent Care - Little Egg Harbor
Other providers in Little Egg Harbor TWP, NJ
- Anchor Family Healthcare
- Anchor Mobile Health
- Kurt Albin Anderson
- Chad Astemborski
- Atlantic Home Health & Nursing Care, LLC
- Atlanticare Physician Group, PA
- Atlanticare Surgery Center
- Aurora Rising Therapy
- Noelle Bailey
- Julie Barchetto
All providers in Little Egg Harbor TWP, NJ · Non-Pharmacy Dispensing Site in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.