Organization Active NPI

Practice Associates Medical Group

Doing business as Atlantic Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
National Provider Identifier
1427016385
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRACTICE ASSOCIATES MEDICAL GROUP
Doing business as
Atlantic Medical Group
Practice address
100 Madison Avenue
Interoffice #68
Morristown, NJ 07960
Phone
(844) 264-2250
Fax
(973) 290-8349
NPI assigned
May 2, 2006
Last updated
Jul 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Christopher Aloyce Herzog
Title
Chief Operating Officer
Phone
(973) 829-4320

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Emergency Medicine Physician 207P00000X
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X Primary
Neurological Surgery Physician 207T00000X
Obstetrics & Gynecology Physician 207V00000X
Orthopaedic Surgery Physician 207X00000X
Pediatrics Physician 208000000X
Pediatric Cardiology Physician 2080P0202X
Pediatric Critical Care Medicine Physician 2080P0203X
Pediatric Endocrinology Physician 2080P0205X
Pediatric Gastroenterology Physician 2080P0206X
Pediatric Hematology & Oncology Physician 2080P0207X
Pediatric Infectious Diseases Physician 2080P0208X
Pediatric Nephrology Physician 2080P0210X

Addresses

Primary practice location

100 Madison Avenue
Interoffice #68
Morristown, NJ 07960

Mailing address

PO Box 416457
Boston, MA 02241-6457
Phone (844) 362-1735

Other names 1

  • ATLANTIC MEDICAL GROUP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060330000690 NJ Part B Supplier - Clinic/Group Practice 5890703177 Receives reassigned benefits from 1,841 practitioners
O20130815000749 PA Part B Supplier - Clinic/Group Practice 5890703177 Receives reassigned benefits from 2 practitioners
Practice locations: Milford, PA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 354)

100 Madison Ave
Boston, MA 02241

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

1 Main St
Pepperell, MA 01463
Phone (978) 433-0303

18 Lyons Mall
Ste 101
Basking Ridge, NJ 07920
Phone (908) 373-2688

534 Avenue E
Ste 1C
Bayonne, NJ 07002
Phone (201) 823-0450

3322 Route 22
Ste 1204
Branchburg, NJ 08876
Phone (908) 378-7227

3322 Route 22
Ste 1205
Branchburg, NJ 08876
Phone (908) 947-3170

1121 Route 22
Ste 155
Bridgewater, NJ 08807
Phone (732) 667-1123

1121 US Highway 22
Bridgewater, NJ 08807
Phone (908) 237-4109

1121 US Highway 22
#170
Bridgewater, NJ 08807

1125 Route 22
Bridgewater, NJ 08807
Phone (973) 971-7609

1125 Route 22
Ste 270
Bridgewater, NJ 08807
Phone (908) 947-7017

1125 Route 22
Ste 280
Bridgewater, NJ 08807
Phone (908) 947-7019

1125 US Highway 22
Fl 2
Bridgewater, NJ 08807

1125 US Highway 22
Ste 105
Bridgewater, NJ 08807

1125 US Highway 22
Ste 150
Bridgewater, NJ 08807
Phone (908) 722-2033

1395 State Rt 23
Ste 4
Butler, NJ 07405
Phone (973) 838-0200

526 Bloomfield Ave
Ste 103
Caldwell, NJ 07006
Phone (973) 226-0559

870 Pompton Ave
Unit A
Cedar Grove, NJ 07009
Phone (973) 239-3865

8 Saddle Rd
Fl 1
Cedar Knolls, NJ 07927

492 Main St
Chatham, NJ 07928
Phone (973) 635-2432

492 Main St
Fl 1
Chatham, NJ 07928

270 US Highway 206 S
Ste B140
Chester, NJ 07930
Phone (908) 955-8504

415 State Route 24
Chester, NJ 07930
Phone (908) 279-2707

100 Commerce Pl
Ste 100
Clark, NJ 07066
Phone (732) 499-8128

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2,253

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 2,253

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1427016385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MADISON AVENUE",
            "address_2": "INTEROFFICE #68",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "07960",
            "telephone_number": "844-264-2250",
            "fax_number": "973-290-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICE ASSOCIATES MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ALOYCE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "973-829-4320"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATLANTIC MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.