NPIMap

Organization Active NPI

Atlantic Emergency Associates - Hammonton Sed LLC

  • Emergency Medicine Physician
  • Hammonton, NJ
National Provider Identifier
1427285709
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
ATLANTIC EMERGENCY ASSOCIATES - HAMMONTON SED LLC
Practice address
219 N White Horse Pike
Hammonton, NJ 08037-1896
Phone
(610) 639-2747
NPI assigned
Jun 15, 2009
Last updated
Feb 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Stephen Walsh
Title
Business Manager
Phone
(610) 639-2747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

219 N White Horse Pike
Hammonton, NJ 08037-1896

Mailing address

PO Box 411017
Boston, MA 02241-1020
Phone (610) 639-2747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090824000019 NJ Part B Supplier - Clinic/Group Practice 9133273329 Receives reassigned benefits from 27 practitioners
Practice locations: Hammonton, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 31

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 31

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1427285709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411017",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022411020",
            "telephone_number": "610-639-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371896",
            "telephone_number": "610-639-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC EMERGENCY ASSOCIATES - HAMMONTON SED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "610-639-2747"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.