ATLANTICARE REGIONAL MEDICAL CENTER (NPI# 1851608111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851608111 |
Entity Type | Organization |
Organization Name | ATLANTICARE REGIONAL MEDICAL CENTER |
Other Organization Name | ATLANTICARE PHARMACY AT POMONA |
Practice Address |
54 W Jimmie Leeds Rd Galloway NJ 08205-9401 |
Practice Telephone | 6094047444 |
Practice Fax Number | 6094047445 |
Mailing Telephone | 6094047444 |
Mailing Fax Number | 6094047445 |
Enumeration Date | 2010-09-08 |
Last Update Date | 2010-09-08 |
Authorized Official Name | ANTHONY GRAZIANO (DIRECTOR BUSINESS DEVELOPMENT) |
Authorized Official Telephone | 2012800547 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
28RS00706800 | NJ | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 3197262 | 01 |
Other Name | Type Code |
---|---|
AtlantiCare Pharmacy at Pomona | 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 |
1851540025 | Atlanticare Regional Medical Center | Psychiatry & Neurology | 65 W Jimmie Leeds Rd, Psychiatry Dept., Pomona, NJ 08240-9102 | 2008-09-12 |
1568663250 | Atlanticare Regional Medical Center | Nurse Practitioner | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2007-05-30 |
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 |
54 W JIMMIE LEEDS RD |
City | GALLOWAY |
State | NJ |
Zip Code | 08205-9401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427031681 | Nasser Eldien Borai | Internal Medicine | 54 W Jimmie Leeds Rd, Suites 11 & 12, Galloway, NJ 08205-9401 | 2005-11-22 |
1922647452 | Sherry Lynn Pharo | Nurse Practitioner | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9438 | 2020-01-01 |
1043700495 | Atlanticare Health Services Inc. | Clinic/Center | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9438 | 2018-05-11 |
1538513262 | Moomal Memon | Internal Medicine | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9438 | 2016-04-19 |
1982010468 | Heart Health Center | Clinic/Center | 54 W Jimmie Leeds Rd, Suite # 14, Galloway, NJ 08205-9438 | 2014-07-07 |
1003249087 | Atlantic Oncology Associates, LLC | Internal Medicine | 54 W Jimmie Leeds Rd, Suite 11, Galloway, NJ 08205-9438 | 2013-08-14 |
1720365067 | Michael Peter Barone | Pharmacist | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9438 | 2011-11-15 |
1043597859 | Brigita Ann Kelsey | Pharmacist | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9438 | 2011-11-08 |
1518244680 | Anthony F Graziano | Pharmacist | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9438 | 2011-11-03 |
1952680100 | Shore Oral and Maxillofacial Surgery, LLC | Dentist | 54 W Jimmie Leeds Rd, Suite 6, Galloway, NJ 08205-9438 | 2011-08-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942834973 | Foot & Ankle Center of Sj | Podiatrist | 408 Chris Gaupp Dr Ste 300, Galloway, NJ 08205 | 2020-02-28 |
1922640747 | Eve Atwell | Physical Therapist | 323 S. Pitney Rd, Galloway, NJ 08205 | 2019-10-14 |
1558911560 | Marcelo Pantaleon Alfaro Jr. | Non-emergency Medical Transport (VAN) | 403 Ebony Tree Ave., Galloway, NJ 08205 | 2019-09-12 |
1194374504 | Marsha J Brown | Technician | 27 Brampton St, Galloway, NJ 08205 | 2019-09-09 |
1790246296 | Jennifer Cella-roe | Social Worker | 309 S New York Rd Ste 10, Galloway, NJ 08205 | 2019-03-27 |
1952881450 | Center for Family Services, Inc. | Community/Behavioral Health | 312 East White Horse Pike, Absecon, NJ 08205 | 2018-08-15 |
1780178707 | Atlantic Community Charter School | Case Management | 112 South New York Rd, Galloway, NJ 08205 | 2018-06-22 |
1467985952 | Brian Pauling | Chiropractor | 506 S. New York Rd., Galloway, NJ 08205 | 2017-04-11 |
1598118903 | Career Opportunity Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 Jim Leeds Road, Galloway, NJ 08205 | 2016-07-20 |
1033582085 | Caringhouse Projects, Inc | Respite Care | 506 2nd Avenue, Galloway, NJ 08205 | 2015-11-12 |
Find all providers in zip 08205 |
Taxonomy Code | 3336I0012X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Institutional Pharmacy |
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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1104862580 | Specialty Rx Inc | Pharmacy | 2 Bergen Tpke, Ridgefield Park, NJ 07660-2340 | 2006-06-22 |
1417555822 | Champagnepapi LLC | Pharmacy | 22 Ann St, Freehold, NJ 07728-1944 | 2020-10-16 |
1508247818 | Memorial Sloan Kettering | Pharmacy | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2015-06-11 |
1386022481 | Holy Name Medical Center | Pharmacy | 718 Teaneck Rd, Pharmacy Dept., Teaneck, NJ 07666-4245 | 2015-05-11 |
1437573243 | Jersey City Medical Center | Pharmacy | 355 Grand St, Jersey City, NJ 07302-4321 | 2014-02-13 |
1346579463 | Kennedy Memorial Hospitals - University | Pharmacy | 18 E Laurel Rd, Stratford, NJ 08084-1327 | 2009-12-19 |
1336310895 | Hmh Hospitals Corporation | Pharmacy | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2008-03-12 |
1043326358 | Saint Peters University Hospital | Pharmacy | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2006-08-21 |
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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.