NPIMap

Organization Active NPI

Atlanticare Physician Group, PC

Doing business as Pavilion OB/GYN

  • Obstetrics & Gynecology Physician
  • Egg Harbor Township, NJ
National Provider Identifier
1548419286
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ATLANTICARE PHYSICIAN GROUP, PC
Doing business as
Pavilion OB/GYN
Practice address
2500 English Creek Ave
Suite 214
Egg Harbor Township, NJ 08234-5549
Phone
(609) 677-7211
Fax
(609) 677-7210
NPI assigned
Sep 18, 2008
Last updated
Sep 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Dr. Marilouise Venditti, MD
Title
President
Phone
(609) 441-8099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

2500 English Creek Ave
Suite 214
Egg Harbor Township, NJ 08234-5549

Mailing address

2500 English Creek Ave
Suite 214
Egg Harbor Township, NJ 08234-5549
Phone (609) 677-7211

Other names 1

  • Pavilion OB/GYN Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Atlanitcare Physician Group22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1548419286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE",
            "address_2": "SUITE 214",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345549",
            "telephone_number": "609-677-7211",
            "fax_number": "609-677-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE",
            "address_2": "SUITE 214",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345549",
            "telephone_number": "609-677-7211",
            "fax_number": "609-677-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTICARE PHYSICIAN GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "VENDITTI",
        "authorized_official_first_name": "MARILOUISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-441-8099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pavilion OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Egg Harbor Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.