NPIMap

Organization Active NPI

Atlanticare Health Services, Inc.

Doing business as AtlantiCare Health Services - FQHC

  • Federally Qualified Health Center (FQHC)
  • Atlantic City, NJ
National Provider Identifier
1407574635
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ATLANTICARE HEALTH SERVICES, INC.
Doing business as
AtlantiCare Health Services - FQHC
Practice address
7 S Ohio Ave Ste 2100
Atlantic City, NJ 08401-6711
Phone
(609) 572-8800
Fax
(609) 572-6008
NPI assigned
Aug 15, 2022
Last updated
May 6, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ATLANTICARE HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Mr. Christopher Carl Apgar
Title
Director of Finance/Cfo
Phone
(609) 572-6006

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

7 S Ohio Ave Ste 2100
Atlantic City, NJ 08401-6711

Mailing address

1401 Atlantic Ave Ste 1125
Atlantic City, NJ 08401-7001
Phone (609) 572-6006

Other names 1

  • AtlantiCare Health Services - FQHC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040719001204 NJ Part B Supplier - Clinic/Group Practice 7911810916 Receives reassigned benefits from 105 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pleasantville, NJ; Galloway, NJ; Egg Harbor Township, NJ; Atlantic City, NJ
O20241105001079 NJ Part A Provider - Federally Qualified Health Center (FQHC) 7911810916 Practice locations: Atlantic City, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407574635. Details of each certification follow.

Federally qualified health center certification: CCN 311015

Legal name
ATLANTICARE HEALTH SERVICES, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 11, 2024
Last certification
Oct 11, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 18, 2022 in NJ
Enrollment address
7 S Ohio Ave
Ste 2100
Atlantic City, NJ 84016711

Other NPIs with the same Medicare PAC ID 8

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

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Atlanticare Surgery Cen16 organizations share this tax ID, including this one
Part of
Atlanticare Surgery Cen

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

7 S Ohio Ave
Fl 2
Atlantic City, NJ 08401
Phone (609) 572-8800

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ronald Caplan Individual Corporate DirectorBoard Director Jan 1, 2024
Jerrold H Savoy Individual Corporate DirectorBoard Director Jan 1, 2024
Shantia Murphy Individual Corporate DirectorBoard Director Jan 1, 2024
Rosalind Kincaid Individual Corporate DirectorBoard Director Jan 1, 2024
Celestine Perry Individual Corporate DirectorBoard Director Jan 1, 2024
Jose Claro Individual Corporate DirectorBoard Director Jan 1, 2024
Christopher C Apgar Individual Corporate OfficerDirector Finance FQHC Jan 1, 2023
Corporate DirectorDirector Finance FQHC Jan 1, 2023
W-2 Managing EmployeeDirector Finance FQHC Jan 1, 2023
Christian Ragland Individual Corporate DirectorBoard Director Jan 1, 2024
Walter Stein Individual Corporate DirectorBoard Director Jan 1, 2024
Denisse Ponton Individual Corporate DirectorBoard Director Jan 1, 2024
Sandra L Festa Individual Corporate OfficerExecutive Director FQHC Jan 1, 2023
Corporate DirectorExecutive Director FQHC Jan 1, 2023
W-2 Managing EmployeeAd; Jan 1, 2023
Linda Peyton Individual Corporate DirectorBoard Director Jan 1, 2024
Blair a Bergen Individual Corporate DirectorBoard Director Jan 1, 2024
Atlanticare Health Services, Inc. Organization, Atlantic City, NJ Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 18, 2022 100%

Owners & managing parties with NPI records 10

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Select Specialty Hospital -Atlantic CityAtlantic City, NJ, CCN 312023 Hospital 5% Or Greater Direct Ownership Interest (20%)
Limited Partnership Interest (20%)		 Apr 2, 2011
Aug 1, 2009
Atlanticare Health Services, Inc.Atlantic City, NJ, CCN 311008 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2023
Atlanticare Health Services, Inc.Atlantic City, NJ, CCN 311009 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2023
Atlanticare Health Services, Inc.Pleasantville, NJ, CCN 311014 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 2024
Atlanticare Health Services, Inc.Egg Harbor Township, NJ, CCN 311017 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2023

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1407574635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 ATLANTIC AVE STE 1125",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084017001",
            "telephone_number": "609-572-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 S OHIO AVE STE 2100",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084016711",
            "telephone_number": "609-572-8800",
            "fax_number": "609-572-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTICARE HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTICARE HEALTH SERVICES, INC.",
        "enumeration_date": "2022-08-15",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "APGAR",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE/CFO",
        "authorized_official_telephone_number": "609-572-6006",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AtlantiCare Health Services - FQHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AtlantiCare Health Services - FQHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlantic City, NJ

Sources for this page

Verify at the official NPI Registry.