PCR Health Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PCR HEALTH CENTER

Practice address

2009 Bacharach Blvd
Atlantic City, NJ 08401-3003

Phone

(609) 400-1260

Fax

(856) 489-0435

NPI assigned

Apr 19, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Amalia Fantasia, M.D.

Title

Owner

Phone

(856) 489-0550

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1922689264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 BACHARACH BLVD",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084013003",
            "telephone_number": "609-400-1260",
            "fax_number": "856-489-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 BACHARACH BLVD",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084013003",
            "telephone_number": "609-400-1260",
            "fax_number": "856-489-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCR HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "FANTASIA",
        "authorized_official_first_name": "AMALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-489-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanyamee Patel
• Shivani Patel
• Tejalkumar Patel, NP
• Urmil Patel
• Yesha Nitang Patel
• Raymond Pearson
• Magnolia M Pelaez, D.D.S.
• John Thomas Pericles, D.O.
• Peter Thompson, M.D., LLC
• Jeanmarie Petersen, DO

• Clinic/Center in Atlantic City, NJ
• Providers in Atlantic City, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.