Organization Active NPI

Atlantic Health Source Inc

  • Durable Medical Equipment & Medical Supplies
  • Perth Amboy, NJ
National Provider Identifier
1881556157
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ATLANTIC HEALTH SOURCE INC
Practice address
313 State St Unit 513
Perth Amboy, NJ 08861-4128
Phone
(973) 400-5582
NPI assigned
Nov 25, 2025
Last updated
Apr 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Authorized official

Name
Steven Gray
Title
President
Phone
(973) 400-5582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

313 State St Unit 513
Perth Amboy, NJ 08861-4128

Mailing address

313 State St Unit 513
Perth Amboy, NJ 08861-4128
Phone (973) 400-5582

National Provider Directory

National Provider Directory

Locations

313 State St
Unit 513
Perth Amboy, NJ 08861
Phone (973) 400-5582

NPI Registry JSON

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

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1881556157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 STATE ST UNIT 513",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614128",
            "telephone_number": "973-400-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 STATE ST UNIT 513",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614128",
            "telephone_number": "973-400-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC HEALTH SOURCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-25",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-400-5582"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.