Organization Active NPI

Four Doc P.C.

  • Primary Care Clinic/Center
  • Atlantic City, NJ
National Provider Identifier
1285531467
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FOUR DOC P.C.
Practice address
2015 Pacific Ave
Atlantic City, NJ 08401-6726
Phone
(682) 259-6319
NPI assigned
Oct 21, 2026
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
FOUR DOC P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Authorized official

Name
Paul Dickenson
Title
Treasurer
Phone
(423) 602-9530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2015 Pacific Ave
Atlantic City, NJ 08401-6726

Mailing address

1110 Market St Ste 502
Chattanooga, TN 37402-3310
Phone (682) 259-6319

Other names 1

  • Four Doc P.C. - Caesars Atlantic City Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1792540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1285531467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 MARKET ST STE 502",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374023310",
            "telephone_number": "682-259-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 PACIFIC AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084016726",
            "telephone_number": "682-259-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR DOC P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUR DOC P.C.",
        "enumeration_date": "2026-10-21",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "DICKENSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "423-602-9530"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Doc P.C. - Caesars Atlantic City",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlantic City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; 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.