Atlantic Integrative Medical Center

Primary specialty

NaturopathTaxonomy code 175F00000X

License

25MA08838800 Issued in NJ

Legal business name

ATLANTIC INTEGRATIVE MEDICAL CENTER

Practice address

201 E Black Horse Pike
Pleasantville, NJ 08232-2737

Phone

(609) 641-9009

Fax

(609) 641-3918

NPI assigned

Jul 19, 2012

Last updated

Jul 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pia J Gardner, M.D.

Title

Medical Director

Phone

(609) 641-9009

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1295080844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E BLACK HORSE PIKE",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322737",
            "telephone_number": "609-641-9009",
            "fax_number": "609-641-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E BLACK HORSE PIKE",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322737",
            "telephone_number": "609-641-9009",
            "fax_number": "609-641-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC INTEGRATIVE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "PIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "609-641-9009",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NJ",
            "license": "25MA08838800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Naturopath in Pleasantville, NJ
• Providers in Pleasantville, NJ by specialty
• Naturopath in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.