Atlantic City Gynecology Group

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

10161 A Issued in NJ

Legal business name

ATLANTIC CITY GYNECOLOGY GROUP

Practice address

1616 Pacific Ave
Suite 316
Atlantic City, NJ 08401-6939

Phone

(609) 344-4554

Fax

(609) 348-2565

NPI assigned

Feb 27, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Allen J Kline, D.O.

Title

Owner

Phone

60934445554

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710013198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 PACIFIC AVE",
            "address_2": "SUITE 316",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084016939",
            "telephone_number": "609-344-4554",
            "fax_number": "609-348-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 PACIFIC AVE",
            "address_2": "SUITE 316",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084016939",
            "telephone_number": "609-344-4554",
            "fax_number": "609-348-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC CITY GYNECOLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "60934445554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "10161 A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5363403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Atlantic City, NJ
• Providers in Atlantic City, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.