Individual provider Active NPI

Christopher Altamuro, DO

  • Family Medicine Physician
  • Vineland, NJ
National Provider Identifier
1841287539
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB54988 Issued in NJ
Practice address
2848 S Delsea Dr
Suite 4B
Vineland, NJ 08360-7042
Phone
(856) 205-7070
Fax
(856) 205-0145
NPI assigned
Sep 29, 2005
Last updated
Mar 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MB54988 NJ Primary

Addresses

Primary practice location

2848 S Delsea Dr
Suite 4B
Vineland, NJ 08360-7042

Mailing address

8 Lake Shore Dr
Glassboro, NJ 08028-2718
Phone (856) 863-9928

Other identifiers 7

IdentifierTypeStateIssuer
080179131OtherRR MEDICARE
0533428000OtherAMERIHEALTH
10650756OtherNJCAQH
223772973OtherNJTAX ID
4248043OtherNJAETNA PIN
496931OtherAETNA/HMO
5215901MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070406000000 NJ Practitioner - Family Practice 1456455104 Reassigns benefits to 2 organizations
I20121108000490 DE Practitioner - Hospice/Palliative Care 1456455104 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MB54988NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Jan 1, 2007 Accepting new patients
Atlanticare Urgent Care Physicians LLC CurrentSince Jan 12, 2019 Accepting new patients
Atlanticare Physician Group PA Family Medicine Current Accepting new patients
Delaware Hospice, Inc CurrentSince Nov 1, 2012 Accepting new patients
Atlanticare Physician Group CurrentSince Jan 1, 2007 Accepting new patients
Atlanticare Health Services, Inc. Past Accepting new patients

Locations

630 Churchmans Rd
Ste 200
Newark, DE 19702
Phone (302) 478-5707

2500 English Creek Ave
Ste 602
Egg Harbor Twp, NJ 08234
Phone (609) 272-6340

2500 English Creek Ave
Ste 909
Egg Harbor Twp, NJ 08234
Phone (609) 407-2380

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

255 N Route 73
West Berlin, NJ 08091
Phone (609) 569-7040

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236902400000",
    "number": "1841287539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LAKE SHORE DR",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080282718",
            "telephone_number": "856-863-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 S DELSEA DR",
            "address_2": "SUITE 4B",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607042",
            "telephone_number": "856-205-7070",
            "fax_number": "856-205-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTAMURO",
        "first_name": "CHRISTOPHER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2009-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB54988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080179131",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0533428000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10650756",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "223772973",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "4248043",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/HMO",
            "identifier": "496931",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5215901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.