FMS ATLANTIC CITY HOLDINGS, LLC (NPI# 1780181008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780181008 |
| Entity Type | Organization |
| Organization Name | FMS ATLANTIC CITY HOLDINGS, LLC |
| Other Organization Name | FRESENIUS KIDNEY CARE BOARDWALK |
| Practice Address |
1925 Pacific Ave Atlantic City NJ 08401-6713 |
| Practice Telephone | 6094418944 |
| Mailing Telephone | 6094418944 |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-04-12 |
| Authorized Official Name | MARK FAWCETT (SR. VP AND TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fresenius Kidney Care Boardwalk | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831686070 | Fms Atlantic City Holdings, LLC | Clinic/Center | 1501 Atlantic Ave, Atlantic City, NJ 08401-7013 | 2018-04-13 |
| 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 | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487758264 | Rcg Southern New Jersey, LLC | Clinic/Center | 1501 Atlantic Ave, Atlantic City, NJ 08401-7013 | 2006-09-12 |
| 1831686070 | Fms Atlantic City Holdings, LLC | Clinic/Center | 1501 Atlantic Ave, Atlantic City, NJ 08401-7013 | 2018-04-13 |
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|---|---|---|---|---|
| 1356963938 | Usrc Gloucester, LLC | Clinic/Center | 601 Berlin Cross Keys Rd, Sicklerville, NJ 08081-9563 | 2020-05-18 |
| 1679192876 | Knickerbocker Dialysis Inc | Clinic/Center | 1734 Hancock St, Ridgewood, NJ 11385-4734 | 2020-04-09 |
| 1750910295 | Elandon Dialysis LLC | Clinic/Center | 820 N Rte 17, Paramus, NJ 07652-3104 | 2020-04-06 |
| 1780212365 | Zellier Dialysis LLC | Clinic/Center | 1260 Route 22 E, North Plainfield, NJ 07060 | 2020-03-30 |
| 1437798386 | Total Renal Care Inc | Clinic/Center | 1800 State Route 34 Ste 302, Wall Township, NJ 07719-9146 | 2019-12-24 |
| 1598306276 | Fresenius Medical Care Passaic, LLC | Clinic/Center | 10 Clifton Blvd Ste 1, Clifton, NJ 07011-3802 | 2019-10-03 |
| 1821646035 | Isd Renal Inc | Clinic/Center | 262 Broad St, Newark, NJ 07104-3809 | 2019-08-30 |
| 1699323824 | Claymount Dialysis LLC | Clinic/Center | 21 Cornwell Dr, Bridgeton, NJ 08302-3632 | 2019-08-30 |
| 1962064758 | Fresenius Medical Care Bridgeton, LLC | Clinic/Center | 12 Cornwell Dr, Bridgeton, NJ 08302-3633 | 2019-07-02 |
| 1790347698 | Wellbound of Cherry Hill, LLC | Clinic/Center | 1945 Route 70 E Ste A, Cherry Hill, NJ 08003-2117 | 2019-07-01 |
| Find all providers with the same taxonomy | ||||
| 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.