Organization · Type 2 NPI

Atlanticare Physician Group PA

Non-Pharmacy Dispensing Site · Little Egg Harbor Township, NJ

NPI number 1255787404 Active

Practice location

459 Route 9 S
Little Egg Harbor Township, NJ 08087-2225

Call (609) 407-2273 Map

Mailing address

9276 Scranton Rd, Suite 100
San Diego, CA 92121-7701

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	25MA05773200 (NJ)

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.)

5 other providers at this address

Other non-pharmacy dispensing site providers in Little Egg Harbor Township

Family Medicine CenterNon-Pharmacy Dispensing Site Little Egg Harbor Township, NJ NPI 1992041107

See all in Little Egg Harbor Township →

NPI record

NPI: 1255787404
Entity type: Organization (Type 2)
Issued: May 6, 2016
Last updated: May 6, 2016
Status: Active
Subpart: Yes of Medvantx, Inc.

Other names

<unavail>
Atlanticare Urgent Care - Little Egg Harbor · doing business as

Authorized official

Kenny Heine
VP of Operations
(858) 964-1506

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1255787404

Atlanticare Physician Group PA's National Provider Identifier is 1255787404, issued on May 6, 2016. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Little Egg Harbor Township, NJ. The record was last updated on May 6, 2016.