Atlanticare Physician Group PA
Non-Pharmacy Dispensing Site in Galloway, New Jersey
1083000707- Practice location
- 110 E Jimmie Leeds RD, Galloway, NJ 08205-9508
- Phone
- 609-748-2100
- Fax
- —
- Last updated
- April 29, 2015
Atlanticare Physician Group PA is a healthcare organization based in Galloway, NJ. Atlanticare Physician Group PA practices in Galloway, NJ. The NPI Number for Atlanticare Physician Group PA is 1083000707 and holds a License No. 25MB05380400 (NJ). The current practice location address for Atlanticare Physician Group PA is 110 E Jimmie Leeds RD, Galloway, NJ 08205-9508 and can be reached out via phone at 609-748-2100.
Provider Profile Details
- NPI Number
- 1083000707
- Provider Name
- Atlanticare Physician Group PA
- Provider Entity Type
- Organization
- Address
- 110 E Jimmie Leeds RD, Galloway, NJ 08205-9508
- Phone Number
- 609-748-2100
- Primary Taxonomy
- Non-Pharmacy Dispensing Site · 332900000X
- Organization Subpart
- Yes
- Parent Organization
- Medvantx, INC.
- Authorized Official
- Kenny Heine · Vp Of Operations · 858-964-1506
- Other Names
- Atlanticare Urgent Care- Galloway Township (Doing Business As)
- Provider Enumeration Date
- April 9, 2015
- Last Update Date
- April 29, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 110 E Jimmie Leeds RD
Galloway, NJ 08205-9508 - City
- Galloway
- State
- New Jersey
- Zip
- 08205-9508
- Phone Number
- 609-748-2100
Provider Business Mailing Address Details
- Address
- 5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705 - City
- San Diego
- State
- CA
- Zip
- 92121-1705
License Information
- License Number
- 25MB05380400
- License State
- NJ
- Taxonomy
- Non-Pharmacy Dispensing Site · 332900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Atlanticare Physician Group PA?
The NPI number of Atlanticare Physician Group PA is 1083000707. It was assigned on April 9, 2015 and is currently active in the NPPES registry.
What is the specialty of Atlanticare Physician Group PA?
Atlanticare Physician Group PA is registered under the primary taxonomy Non-Pharmacy Dispensing Site (code 332900000X), licensed in NJ under license number 25MB05380400.
Where does Atlanticare Physician Group PA practice?
The practice location is 110 E Jimmie Leeds RD, Galloway, NJ 08205-9508. The office can be reached at 609-748-2100 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083000707 directly on the NPPES registry website.