Organization Active NPI

Atlas Medical Care,LLC

  • Internal Medicine Physician
  • Freehold, NJ
National Provider Identifier
1689951592
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08006600 Issued in NJ
Legal business name
ATLAS MEDICAL CARE,LLC
Practice address
1001 W Main St Ste a
Freehold, NJ 07728-2579
Phone
(732) 637-8444
Fax
(732) 637-8440
NPI assigned
Nov 5, 2011
Last updated
Mar 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Authorized official

Name
Dr. Atul BhasinNPI 1619989639
Title
Sole Member
Phone
(732) 233-0038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA08006600 NJ Primary

Addresses

Primary practice location

1001 W Main St Ste a
Freehold, NJ 07728-2579

Mailing address

8 Barclay St
Morganville, NJ 07751-1005
Phone (732) 637-8444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120417000340 NJ Part B Supplier - Clinic/Group Practice 5597926659 Receives reassigned benefits from 14 practitioners
Practice locations: Freehold, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2087555Atlas Medical Care, LLC1001 West Main St, Unit a, Freehold, NJ 07728Certificate of waiverNov 27, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1320451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1689951592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BARCLAY ST",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511005",
            "telephone_number": "732-637-8444",
            "fax_number": "732-372-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W MAIN ST STE A",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282579",
            "telephone_number": "732-637-8444",
            "fax_number": "732-637-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS MEDICAL CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-05",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "BHASIN",
        "authorized_official_first_name": "ATUL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "732-233-0038",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08006600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.