Atlantic Shore Family Practice, P.a.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MB53762 Issued in NJ

Legal business name

ATLANTIC SHORE FAMILY PRACTICE, P.A.

Practice address

1423 Tilton Rd
Suite 3
Northfield, NJ 08225-1865

Phone

(609) 272-1441

Fax

(609) 272-8306

NPI assigned

Apr 13, 2010

Last updated

Apr 13, 2010By 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

Richard A. Kader, D.O.

Title

President

Phone

(609) 272-1441

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1417273616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 TILTON RD",
            "address_2": "SUITE 3",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251865",
            "telephone_number": "609-272-1441",
            "fax_number": "609-272-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 TILTON RD",
            "address_2": "SUITE 3",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251865",
            "telephone_number": "609-272-1441",
            "fax_number": "609-272-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC SHORE FAMILY PRACTICE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "KADER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-272-1441",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "MB53762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4621905",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Atlantic Cape Orthopedics, P.a.
• Atlantic County Public Health Department
• Atlantic Oral & Maxillofacial Associates P.a.
• Atlantic Periodontics
• Atlantic Periodontics LLC
• Atlantic Shore Orthopaedic Associates, LLC
• Atlantic Shore Podiatry,P.a.
• Atlantic Shore Podiatry,P.a.
• Barnett & Massey LLC
• Robin M Barnett, ED.D, LCSW

• Medical Specialty Clinic/Center in Northfield, NJ
• Providers in Northfield, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.