Organization Active NPI

Atlantis Health Care Group Inc

  • Sleep Medicine (Internal Medicine) Physician
  • Middletown, NJ
National Provider Identifier
1972920510
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
25MA08294600 Issued in NJ
Legal business name
ATLANTIS HEALTH CARE GROUP INC
Practice address
14 Tindall Rd
Middletown, NJ 07748-2722
Phone
(732) 671-3464
NPI assigned
Mar 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Authorized official

Name
Dr. Ahmed Aly Abdel Fadil, M.D.
Title
Director
Phone
(732) 671-3464

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 25MA08294600 NJ
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X 25MA08294600 NJ Primary

Addresses

Primary practice location

14 Tindall Rd
Middletown, NJ 07748-2722

Mailing address

14 Tindall Rd
Middletown, NJ 07748-2722
Phone (732) 671-3464

National Provider Directory

National Provider Directory

Locations

14 Tindall Rd
Middletown, NJ 07748
Phone (732) 671-3464

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1972920510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 TINDALL RD",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482722",
            "telephone_number": "732-671-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 TINDALL RD",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482722",
            "telephone_number": "732-671-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS HEALTH CARE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "ABDEL FADIL",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "ALY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-671-3464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA08294600",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NJ",
            "license": "25MA08294600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.