NPIMap

Organization Active NPI

Atlanticare Urgent Care Physicians LLC

Doing business as AtlantiCare Urgent Care Mount Laurel

  • Non-Pharmacy Dispensing Site
  • Mount Laurel, NJ
National Provider Identifier
1598157182
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
25MB06977500 Issued in NJ
Legal business name
ATLANTICARE URGENT CARE PHYSICIANS LLC
Doing business as
AtlantiCare Urgent Care Mount Laurel
Practice address
3131 Route 38
Mount Laurel, NJ 08054-9757
Phone
(609) 569-7040
NPI assigned
Feb 19, 2015
Last updated
Dec 15, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDVANTX,INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Authorized official

Name
Robin G Deshields
Title
Professional Rev Cycle Bus Partner
Phone
(609) 272-6860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 25MB06977500 NJ Primary

Addresses

Primary practice location

3131 Route 38
Mount Laurel, NJ 08054-9757

Mailing address

5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705

Other names 1

  • AtlantiCare Urgent Care Mount Laurel Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Atlanticare Urgent Care Berlin Township3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1598157182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 ROUTE 38",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549757",
            "telephone_number": "609-569-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTICARE URGENT CARE PHYSICIANS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX,INC.",
        "enumeration_date": "2015-02-19",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "DESHIELDS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PROFESSIONAL REV CYCLE BUS PARTNER",
        "authorized_official_telephone_number": "609-272-6860"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NJ",
            "license": "25MB06977500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AtlantiCare Urgent Care Mount Laurel",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AtlantiCare Urgent Care Mount Laurel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.