ATLANTICARE PHYSICIAN GROUP PA (NPI# 1891141057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891141057 |
| Entity Type | Organization |
| Organization Name | ATLANTICARE PHYSICIAN GROUP PA |
| Other Organization Name | ATLANTICARE URGENT CARE - HAMMONTON |
| Practice Address |
120 S White Horse Pike Hammonton NJ 08037-1804 |
| Mailing Address |
9276 Scranton Rd Suite 100 San Diego CA 92121-7701 |
| Practice Telephone | 6095672573 |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |
| Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
| Authorized Official Telephone | 8589641506 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 25MB05339800 | NJ | Suppliers |
| Other Name | Type Code |
|---|---|
| AtlantiCare Urgent Care - Hammonton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972957660 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 1310 Blackwood Clementon Rd, Clementon, NJ 08021-5610 | 2016-04-19 |
| 1578919460 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 210 S Shore Rd, Suite 201, Marmora, NJ 08223-1200 | 2016-05-10 |
| 1255787404 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 459 Route 9 S, Little Egg Harbor Twp, NJ 08087-2225 | 2016-05-06 |
| 1083000707 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 110 E Jimmie Leeds Rd, Galloway, NJ 08205-9508 | 2015-04-09 |
| 1073909792 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 443 Shore Rd, Suite 103, Somers Point, NJ 08244-2642 | 2015-04-09 |
| 1922490721 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 2500 English Creek Ave, Bldg 900 Suite 909, Egg Harbor Township, NJ 08234-5549 | 2015-03-03 |
| 1093829608 | Atlanticare Physician Group Pa | Family Medicine | 2500 English Creek Ave, Suite 909, Egg Harbor Township, NJ 08234-5549 | 2006-08-19 |
| Street Address |
120 S WHITE HORSE PIKE |
| City | HAMMONTON |
| State | NJ |
| Zip Code | 08037-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902877079 | Gerald Detata | Family Medicine | 120 S White Horse Pike, Hammonton, NJ 08037-1804 | 2006-01-27 |
| 1942832134 | April Mcgeary | Counselor | 120 S White Horse Pike, Hammonton, NJ 08037-1804 | 2020-02-06 |
| 1720585607 | Laura Freas | Counselor | 120 S White Horse Pike, Hammonton, NJ 08037-1804 | 2018-04-09 |
| 1326545203 | Dorothy Skorupski | Licensed Practical Nurse | 120 S White Horse Pike, Hammonton, NJ 08037-1804 | 2018-04-09 |
| 1689171555 | Cheneen Austin | Registered Nurse | 120 S White Horse Pike, Hammonton, NJ 08037-1804 | 2018-04-09 |
| 1144727215 | Lauren Muniz | Counselor | 120 S White Horse Pike, Hammonton, NJ 08037-1804 | 2018-04-06 |
| 1336640515 | Kimberly Rodriguez | Social Worker | 120 S White Horse Pike, Hammonton, NJ 08037-1804 | 2018-02-23 |
| 1235658022 | Atlanticare Behavioral Health, Inc | Community/Behavioral Health | 120 S White Horse Pike, Hammonton, NJ 08037-1804 | 2017-09-13 |
| 1043745441 | Melissa Pokrovsky | Licensed Practical Nurse | 120 S White Horse Pike, Hammonton, NJ 08037-1804 | 2017-04-24 |
| 1619400538 | Laura Kelso | Registered Nurse | 120 S White Horse Pike, Hammonton, NJ 08037-1804 | 2017-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497312532 | Hope On Wheels LLC | Transportation Broker | 882 12th Street, 882 12th Street D5, Hammonton, NJ 08037 | 2019-05-23 |
| 1679050389 | Lori's Wellness Loft | Massage Therapist | 240 S White House Pike, Suite B4, Hammonton, NJ 08037 | 2018-07-25 |
| 1306364773 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2404 4th Road, Folsom, NJ 08037 | 2017-09-06 |
| 1376070003 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1204 11th Street, Folsom, NJ 08037 | 2017-05-12 |
| 1881138154 | Kennedy Medical Group Practice P.C. | Family Medicine | 630 B South White Horse Pike, Hammonton, NJ 08037 | 2016-12-06 |
| 1467908350 | John Lloyd Jr. | Counselor | 63 Laurel Lane, Hammonton, NJ 08037 | 2016-08-30 |
| 1407218019 | Karon Ross | Counselor | 44 Fern Lane, Hammonton, NJ 08037 | 2016-03-23 |
| 1396106548 | Helen Durham | Counselor | 61 Laurel Lane, Hammonton, NJ 08037 | 2016-03-16 |
| 1972994481 | Person First New Jersey LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14 Heggan Ln, Heggan Ln, Hammonton, NJ 08037 | 2015-02-05 |
| 1659702298 | Alienta Limited Liability Company | Community/Behavioral Health | 425 N Third Street, Hammonton, NJ 08037 | 2013-12-09 |
| Find all providers in zip 08037 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104352335 | Advanced Spine and Pain, LLC | Non-Pharmacy Dispensing Site | 2 8th St, Hammonton, NJ 08037-3347 | 2017-05-09 |
| 1609269935 | Michael Falcone, Md, LLC Dispensary | Non-Pharmacy Dispensing Site | 373 S White Horse Pike, Hammonton, NJ 08037-1135 | 2015-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346716834 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 3830 Atlantic Avenue, Atlantic City, NJ 08401 | 2018-10-23 |
| 1942787981 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 63 Route 70 E, Evesham, NJ 08053-1749 | 2018-07-23 |
| 1750881082 | Qpharma Inc | Non-Pharmacy Dispensing Site | 1613 Route 47, Rio Grande, NJ 08242-1411 | 2018-02-13 |
| 1588187439 | Advanced Feet and Ankle Care | Non-Pharmacy Dispensing Site | 2477 County Rd 516, Old Bridge, NJ 08857-4603 | 2017-07-24 |
| 1275054967 | Nj Pain Care Specialists | Non-Pharmacy Dispensing Site | 1806 Route 35 Ste 305, Oakhurst, NJ 07755-2764 | 2017-07-03 |
| 1053855601 | Edward Magaziner, Md | Non-Pharmacy Dispensing Site | 2186 New Jersey 27, North Brunswick, NJ 08902 | 2016-12-15 |
| 1457701088 | Medical Art Center | Non-Pharmacy Dispensing Site | 950 State Route 35, Middletown, NJ 07748-2603 | 2016-06-14 |
| 1285080507 | Jersey Shore Sports Medicine, LLC | Non-Pharmacy Dispensing Site | 801 A Central Ave, Ocean City, NJ 08226 | 2016-05-05 |
| 1326493040 | Caligor Opco LLC | Non-Pharmacy Dispensing Site | 801 Penhorn Ave, Unit #4, Secaucus, NJ 07094-2150 | 2016-05-02 |
| 1972957660 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 1310 Blackwood Clementon Rd, Clementon, NJ 08021-5610 | 2016-04-19 |
| Find all providers with the same taxonomy | ||||
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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.