Organization Active NPI

Atlantic Recovery and Wellness

  • Family Medicine Physician
  • Salisbury, MD
National Provider Identifier
1740919836
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ATLANTIC RECOVERY AND WELLNESS
Practice address
205 S Division St
Salisbury, MD 21801-4930
Phone
(443) 944-9896
NPI assigned
Jun 6, 2022
Last updated
Jun 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Nicholas Borodulia, MDNPI 1225004294
Title
MD
Phone
(410) 430-5154

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

205 S Division St
Salisbury, MD 21801-4930

Mailing address

205 S Division St
Salisbury, MD 21801-4930
Phone (443) 978-7157

Other practice location 1

1400 Coastal Hwy
Fenwick Island, DE 19944-4452
Phone (443) 944-9896

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1740919836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S DIVISION ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014930",
            "telephone_number": "443-978-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S DIVISION ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014930",
            "telephone_number": "443-944-9896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Coastal Hwy",
            "address_purpose": "LOCATION",
            "city": "Fenwick Island",
            "state": "DE",
            "postal_code": "199444452",
            "country_code": "US",
            "telephone_number": "443-944-9896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATLANTIC RECOVERY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "BORODULIA",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "410-430-5154",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.