Organization Active NPI

Atlantic Medical Physicians LLC

  • Internal Medicine Physician
  • Ocean, NJ
National Provider Identifier
1750933909
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ATLANTIC MEDICAL PHYSICIANS LLC
Practice address
1500 Allaire Ave Ste 103
Ocean, NJ 07712-7603
Phone
(732) 988-6300
Fax
(732) 988-4587
NPI assigned
Jul 9, 2019
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Sudha Garla, MDNPI 1659330629
Title
Medical Director
Phone
(732) 988-6300

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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
31D0708601Atlantic Medical Physicians1500 Allaire Avenue, Suite 103, Ocean, NJ 07712Certificate of waiverAug 31, 2026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190820003990 NJ Part B Supplier - Clinic/Group Practice 5092043695 Receives reassigned benefits from 1 practitioner
Practice locations: Ocean, NJ

National Provider Directory

National Provider Directory

Locations

1500 Allaire Ave
Ste 103
Ocean, NJ 07712
Phone (732) 508-2900

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1500 Allaire Ave Ste 103
Ocean, NJ 07712-7603

Mailing address

1500 Allaire Ave Ste 103
Ocean, NJ 07712-7603
Phone (732) 508-2900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 29, 2019.

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1750933909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ALLAIRE AVE STE 103",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077127603",
            "telephone_number": "732-508-2900",
            "fax_number": "732-508-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ALLAIRE AVE STE 103",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077127603",
            "telephone_number": "732-988-6300",
            "fax_number": "732-988-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC MEDICAL PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "GARLA",
        "authorized_official_first_name": "SUDHA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "732-988-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.