NPIMap

Organization Active NPI

Atlanticare Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlantic City, NJ
National Provider Identifier
1497704845
Registry record updated Nov 9, 2022
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.
Practice address
929 Atlantic Ave
Atlantic City, NJ 08401
Phone
(609) 348-4070
Fax
(609) 348-1122
NPI assigned
May 10, 2006
Last updated
Nov 9, 2022By 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 Nov 9, 2022

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 NJ
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

929 Atlantic Ave
Atlantic City, NJ 08401

Mailing address

1401 Atlantic Ave Ste 1125
Atlantic City, NJ 08401-7001
Phone (609) 572-6002

Other names 1

  • AtlantiCare Health Services - Covenant House Other name

National Provider Directory

National Provider Directory
Part of
Atlanticare Surgery Cen

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1497704845",
    "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": "609-572-6002",
            "fax_number": "609-572-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 ATLANTIC AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "08401",
            "telephone_number": "609-348-4070",
            "fax_number": "609-348-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTICARE HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTICARE HEALTH SERVICES, INC.",
        "enumeration_date": "2006-05-10",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "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": "NJ",
            "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 - Covenant House",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "AtlantiCare Health Services - Covenant House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlantic City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.