Vitas Healthcare Corporation Atlantic

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

23091 Issued in NJ

Legal business name

VITAS HEALTHCARE CORPORATION ATLANTIC

Practice address

521 Fellowship Rd
Suite 110
Mount Laurel, NJ 08054-3413

Phone

(856) 778-0222

Fax

(856) 788-2036

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Nicholas Westfall

Title

Director

Phone

(305) 373-4141

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Locations

Practitioners 10

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

• Sondra Dantzic, M.D.

  • Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
  • Florham Park, NJ
  • NPI 1437245495
  NPD (past)
• Keith Philip Pasichow, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Long Branch, NJ
  • NPI 1366754517
  NPD (past)
• Joseph Graham Sr.

  • Adult Health Nurse Practitioner
  • Blue Bell, PA
  • NPI 1538554365
  NPD (past)
• Kathryn M. Jackson

  • Nurse Practitioner
  • Pittsburgh, PA
  • NPI 1881631059
  NPD (past)
• Trina M Luginsland, APRN

  • Family Nurse Practitioner
  • Hartford, CT
  • NPI 1063256238
  NPD (past)
• Amtul M Malik, MD

  • Family Medicine Physician
  • Fairfax, VA
  • NPI 1699981290
  NPD (past)
• Timothy M O'Toole, MD

  • Emergency Medicine Physician
  • Canton, OH
  • NPI 1063488005
  NPD (past)
• Julie Richitt

  • Nurse Practitioner
  • Fairfax, VA
  • NPI 1700734134
  NPD (past)
• Joseph Shega, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Maitland, FL
  • NPI 1508845462
  NPD (past)
• Debra Vermette, M.D.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Blue Bell, PA
  • NPI 1053390542
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1285777573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3046 CORPORATE WAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330256547",
            "telephone_number": "305-374-4143",
            "fax_number": "305-350-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 FELLOWSHIP RD",
            "address_2": "SUITE 110",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543413",
            "telephone_number": "856-778-0222",
            "fax_number": "856-788-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAS HEALTHCARE CORPORATION ATLANTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "WESTFALL",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-373-4141"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NJ",
            "license": "23091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015008",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Visionary Eye Care Associates LLC
• Vitas Health Services of New Jersey, P.a.
• Jeanna Vizzard, PT
• Vri, Inc
• Wal-Mart Stores East LP
• Walgreen Co
• Ruth Elizabeth Walker-Graham, PH.D., LCSW

• Community Based Hospice Care Agency in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Community Based Hospice Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.