Atlantic Industrial Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA28438 Issued in NJ

Legal business name

ATLANTIC INDUSTRIAL MEDICAL CLINIC

Practice address

1 S New York Ave
Suite 512
Atlantic City, NJ 08401-8012

Phone

(609) 348-2211

Fax

(609) 348-2264

NPI assigned

Oct 12, 2006

Last updated

Nov 29, 2007By 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. Manuel Nigalan, M.D.NPI 1497809909

Title

Medical Doctor

Phone

(609) 348-2211

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Manuel B Nigalan, M.D.

  • Family Medicine Physician
  • Atlantic City, NJ
  • NPI 1497809909
  NPD (past) Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1811086465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 WHITE HORSE PIKE",
            "address_2": "SUITE F-4",
            "city": "ABSECON",
            "state": "NJ",
            "postal_code": "082011468",
            "telephone_number": "609-407-6800",
            "fax_number": "609-646-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S NEW YORK AVE",
            "address_2": "SUITE 512",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084018012",
            "telephone_number": "609-348-2211",
            "fax_number": "609-348-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC INDUSTRIAL MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "NIGALAN",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "609-348-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA28438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3099202",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Atlantic Health Center. PC
• Atlantic Pathologists PC
• Atlantic Radiologist PA
• Atlantic Radiologists Professional Association LLC
• Atlanticare Behavioral Health, Inc
• Atlanticare Behavioral Health, Inc

• Family Medicine Physician in Atlantic City, NJ
• Providers in Atlantic City, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.