ATLANTICARE REGIONAL MEDICAL CENTER (NPI# 1568663250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568663250 |
| Entity Type | Organization |
| Organization Name | ATLANTICARE REGIONAL MEDICAL CENTER |
| Other Organization Name | ARMC FACULTY PRACTICE |
| Practice Address |
1925 Pacific Ave Atlantic City NJ 08401-6713 |
| Practice Telephone | 6095728201 |
| Practice Fax Number | 6094494355 |
| Mailing Telephone | 6095728201 |
| Mailing Fax Number | 6094494355 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2007-10-22 |
| Authorized Official Name | MR. JAMES P. NOLAN (V.P. FINANCE) |
| Authorized Official Telephone | 6095697040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ARMC Faculty Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992978621 | Atlanticare Regional Medical Center | Ambulance | 6685 Washington Ave, Egg Harbor Township, NJ 08234-1827 | 2008-04-02 |
| 1710930102 | Atlanticare Regional Medical Center | Anesthesiology | 65 Jimie Leeds Road, Pomona, NJ 08240 | 2006-05-18 |
| 1013919315 | Atlanticare Regional Medical Center | General Acute Care Hospital | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 | 2005-06-01 |
| 1235677378 | Atlanticare Regional Medical Center | Pharmacy | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2017-02-09 |
| 1063843241 | Atlanticare Regional Medical Center | Pharmacy | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 | 2013-12-12 |
| 1730516626 | Atlanticare Regional Medical Center | Pathology | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2013-10-09 |
| 1255764841 | Atlanticare Regional Medical Center | Neurological Surgery | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2013-08-19 |
| 1659616688 | Atlanticare Regional Medical Center | General Acute Care Hospital | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 | 2012-12-03 |
| 1851608111 | Atlanticare Regional Medical Center | Pharmacy | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9401 | 2010-09-08 |
| 1851540025 | Atlanticare Regional Medical Center | Psychiatry & Neurology | 65 W Jimmie Leeds Rd, Psychiatry Dept., Pomona, NJ 08240-9102 | 2008-09-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ATLANTICARE REGIONAL MEDICAL CENTER, INC. | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 |
| Street Address |
1925 PACIFIC AVE |
| City | ATLANTIC CITY |
| State | NJ |
| Zip Code | 08401-6713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053310615 | Atlantic Pathologists PC | Pathology | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2005-07-17 |
| 1336746882 | Lorraine Isler Alcantara | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-10-07 |
| 1487261285 | Aziza Lee Jadallah | Physician Assistant | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-09-25 |
| 1336757426 | Areej Lalani | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-07-15 |
| 1841817947 | Anum Shoaib Khan | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-07-06 |
| 1205453545 | Shil Shah | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-07-02 |
| 1700415015 | Maryam Hussain | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-04-07 |
| 1518596527 | Saima Mili | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-04-02 |
| 1508492737 | Elizabeth Parks | Nurse Practitioner | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-03-19 |
| 1588297378 | Aneta Savine | Nurse Practitioner | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133175 | Kristy Liekfet | Nurse Practitioner | Atlanticare Apg Palliative Care, 1925 Pacific Ave. 1st Flr, Atlantic City, NJ 08401 | 2020-10-29 |
| 1346716834 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 3830 Atlantic Avenue, Atlantic City, NJ 08401 | 2018-10-23 |
| 1922597947 | Kara Nicole Bonsera | Nurse Practitioner | 1801 Atlantic Ave Fl 3, Atlantic City, NJ 08401 | 2018-05-04 |
| 1437605656 | John Brooks Recovery Center, A New Jersey Non-profit Corporation | Clinic/Center | 1931 Bacharach Blvd, Atlantic City, NJ 08401 | 2016-08-28 |
| 1265874051 | Mary K. Wilsbach | Social Worker | 1401 Atlantic Ave.suite 2200, Healthplex, Atlanticare Ambulatory Care Services;, Atlantic City, NJ 08401 | 2013-07-23 |
| 1326388133 | Atlantic City Board of Education | Local Education Agency (LEA) | 1300 Atlantic Avenue, 5th Floor, Atlantic City, NJ 08401 | 2013-02-15 |
| 1972818656 | Mittal H. Patel | Pharmacist | 1723 Pacific Ave, Atlantic City, NJ 08401 | 2010-08-18 |
| 1689803900 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2109 Atlantic Ave., Ste. 1016, Atlantic City, NJ 08401 | 2009-07-08 |
| 1750536850 | Joel G. Weiss | Dentist | 3822 Ventnor Ave, Atlantic City, NJ 08401 | 2008-11-18 |
| 1982879631 | Angela Butcher | Nurse's Aide | 401 North Martin Luthur King Blvd, Atlantic City, NJ 08401 | 2008-04-24 |
| Find all providers in zip 08401 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942460670 | Mohammed Mominul Islam | Internal Medicine | 526 Pacific Ave, Apartment Number 407, Atlantic City, NJ 08401-7662 | 2008-06-16 |
| 1033384706 | Bhargavi Degapudi | Internal Medicine | 1801 Atlantic Ave, Atlantic City, NJ 08401-6804 | 2008-04-24 |
| 1790848125 | Dale William Struble | Internal Medicine | 2009 Bacharach Boulevard, Atlantic City, NJ 08401 | 2006-12-18 |
| 1679642011 | Health Med Assoicates P.C. | Internal Medicine | 24 S South Carolina Ave, Atlantic City, NJ 08401-7241 | 2006-11-08 |
| 1316029804 | Jitendra K Patel | Internal Medicine | 2300 Atlantic Ave, #1, Atlantic City, NJ 08401-6680 | 2006-10-20 |
| 1558461947 | Ira M Stein | Internal Medicine | 1102 Atlantic Ave, Leonard Erber Medical Center, Atlantic City, NJ 08401 | 2006-09-25 |
| 1851328181 | Senayit G Belete | Internal Medicine | 3101 Boardwalk Tower 1, Suite 3201, Atlantic City, NJ 08401-5100 | 2006-06-26 |
| 1326084989 | Catherine Alcarez | Internal Medicine | 4401 Ventnor Ave, Atlantic City, NJ 08401-5736 | 2006-06-21 |
| 1811955875 | Brian Daniel Timms | Internal Medicine | 1401 Atlantic Ave Ste 2600, Atlantic City, NJ 08401-7022 | 2006-05-01 |
| 1851870885 | Katherine Rose Cosimi | Internal Medicine | 1925 Pacific Ave, Atlantic City, NJ 08401 | 2018-08-10 |
| Find all providers in ATLANTIC CITY | ||||
| City | ATLANTIC CITY |
| Zip Code | 08401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.