Atlanticare Physician Group, PA
Organization Active NPI Urgent Care Clinic/Center · Little Egg Harbor TWP, NJ
NPI 1982013736 · NPPES record last updated Aug 6, 2014
Key facts
- NPI
- 1982013736
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- ATLANTICARE PHYSICIAN GROUP, PA
- Practice address
- 459 Route 9 S
Little Egg Harbor TWP, NJ 08087-2225 - Phone
- (609) 407-2273
- Fax
- (609) 296-5735
- NPI assigned
- Aug 6, 2014
- Organization subpart
- No
Authorized official
- Name
- Mrs. Jennifer Little
- Title
- Director of Finance
- Phone
- (609) 407-2228
Corporate family (same tax ID) 21
National Provider Directory
- Tax ID family
- Atlanitcare Physician Group
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
459 Route 9 S
Little Egg Harbor TWP, NJ 08087-2225
Mailing address
2500 English Creek Ave
Building 600, Attention: Finance
Egg Harbor Township, NJ 08234-5549
Phone (609) 407-2228
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0149021 | Medicaid | NJ |
Other names
- APG Urgent Care
NPI Registry JSON
{
"created_epoch": "1407283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407283200000",
"number": "1982013736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 ENGLISH CREEK AVE",
"address_2": "BUILDING 600, ATTENTION: FINANCE",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082345549",
"telephone_number": "609-407-2228",
"fax_number": "609-272-6397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "459 ROUTE 9 S",
"city": "LITTLE EGG HARBOR TWP",
"state": "NJ",
"postal_code": "080872225",
"telephone_number": "609-407-2273",
"fax_number": "609-296-5735"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTICARE PHYSICIAN GROUP, PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-06",
"last_updated": "2014-08-06",
"status": "A",
"authorized_official_last_name": "LITTLE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "609-407-2228",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0149021",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "APG Urgent Care",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Little Egg Harbor TWP, NJ
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- Atlanticare Physician Group PA
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All providers in Little Egg Harbor TWP, NJ · Urgent Care Clinic/Center in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.