ATLANTICARE PHYSICIAN GROUP, PA
NPI 1003820622
Clinic/Center - Urgent Care in Galloway, NJ

Active since July 28, 2006CLIA Certified · 4 labs
110 E JIMMIE LEEDS RD, GALLOWAY, NJ 08205(609) 748-2100(609) 748-2101 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 14, 2025, Nov 8, 2023, Nov 1, 2023 (3 updates tracked since 2023).

About Atlanticare Physician Group, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATLANTICARE PHYSICIAN GROUP, PA (NPI 1003820622), doing business as Atlanticare Urgent Care, is a healthcare organization registered as an urgent care in Galloway, New Jersey and active in the NPI registry since July 2006. The organization holds 4 active CLIA laboratory certificates and lists Robin Deshields, Professional Rev Cycle Bus Partner, as its authorized official.

NPPES Registry Identity

NPI1003820622
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameATLANTICARE PHYSICIAN GROUP, PA
Location Address110 E JIMMIE LEEDS RDGalloway, NJ 08205-9479
Mailing Address2500 English Creek Ave Bldg 900Egg Harbor Township, NJ 08234-5549 · (609) 407-2380
Fax(609) 748-2101
Organization SubpartNo
Authorized OfficialRobin DeshieldsProfessional Rev Cycle Bus Partner · (609) 272-6860
Enumeration DateJuly 28, 2006
Last NPPES UpdateMay 14, 20253 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1003820622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
110 E JIMMIE LEEDS RD, Galloway, NJ 08205

Other Names 1

Doing Business AsAtlanticare Urgent Care

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Atlanticare Physician Group, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

919

Medicare enrollment records show 919 clinicians reassign Medicare billing to Atlanticare Physician Group, PA, which bills Medicare for the services they deliver. Of these, 252 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 49

Nurse Practitioner228
Internal Medicine127
Family Practice85
Emergency Medicine61
Urology50
Neurology36
Cardiovascular Disease (Cardiology)29
Obstetrics/Gynecology29
41 other specialties274

Nearest to this location (20)

See all 919
Nurse Practitioner
NPI 1205333630
421 S ZENIA AVE
Galloway, NJ 08205
(609) 602-6657
✔ PECOS✔ Accepts Medicare0.5 mi
Internal Medicine
NPI 1528129509
72 W JIMMIE LEEDS RD #2100
Galloway, NJ 08205
(609) 652-1115
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1851998488
72 W JIMMIE LEEDS RD STE 2500
Galloway, NJ 08205
(609) 377-5133
✔ PECOS✔ Accepts Medicare0.6 mi
Gastroenterology
NPI 1588645410
65 W JIMMIE LEEDS RD
Pomona, NJ 08240
(609) 652-1000
✔ PECOS✔ Accepts Medicare0.6 mi
Critical Care (Intensivists)
NPI 1770895179
65 W JIMMIE LEEDS RD
Pomona, NJ 08240
(609) 748-7089
✔ PECOS✔ Accepts Medicare0.6 mi
Thoracic Surgery
NPI 1952638132
65 W JIMMIE LEEDS RD FL 1
Pomona, NJ 08240
(609) 748-7089
✔ PECOS✔ Accepts Medicare0.6 mi
Certified Nurse Midwife (CNM)
NPI 1568160836
65 W JIMMIE LEEDS RD
Pomona, NJ 08240
(609) 652-1000
✔ PECOS✔ Accepts Medicare0.6 mi
Cardiovascular Disease (Cardiology)
NPI 1760618870
65 W JIMMIE LEEDS RD
Pomona, NJ 08240
(609) 441-8146
✔ PECOS✔ Accepts Medicare0.6 mi
Interventional Cardiology
NPI 1518918838
65 W JIMMIE LEEDS RD
Pomona, NJ 08240
(609) 404-9900
✔ PECOS✔ Accepts Medicare0.6 mi
Pediatric Medicine
NPI 1669502035
65 W JIMMIE LEEDS RD CHOP CARE NETWORK @ ATLANTICARE
Pomona, NJ 08240
(609) 652-1000
✔ PECOS0.6 mi
Vascular Surgery
NPI 1184644700
65 W JIMMIE LEEDS RD FL 1
Pomona, NJ 08240
(609) 748-7089
✔ PECOS✔ Accepts Medicare0.6 mi
Cardiac Surgery
NPI 1184602914
65 W JIMMIE LEEDS RD
Pomona, NJ 08240
(609) 652-1000
✔ PECOS✔ Accepts Medicare0.6 mi
Anesthesiology
NPI 1952515751
65 W JIMMIE LEEDS RD
Pomona, NJ 08240
(609) 748-7597
✔ PECOS✔ Accepts Medicare0.6 mi
Advanced Heart Failure and Transplant Cardiology
NPI 1487807715
318 CHRIS GAUPP DR
Galloway, NJ 08205
(609) 404-9900
✔ PECOS✔ Accepts Medicare0.7 mi
Rheumatology
NPI 1487869152
318 CHRIS GAUPP DR
Galloway, NJ 08205
(609) 748-7104
✔ PECOS✔ Accepts Medicare0.7 mi
Cardiac Electrophysiology
NPI 1477617710
318 CHRIS GAUPP DRIVE
Galloway, NJ 08205
(609) 404-9900
✔ PECOS✔ Accepts Medicare0.7 mi
Pulmonary Disease
NPI 1376077693
318 CHRIS GAUPP DR
Galloway, NJ 08205
(609) 748-7300
✔ PECOS✔ Accepts Medicare0.7 mi
Clinical Social Worker
NPI 1881392082
400 CHRIS GAUPP DR
Galloway, NJ 08205
(609) 404-0648
✔ PECOS✔ Accepts Medicare0.7 mi
Family Practice
NPI 1710120407
408 CHRIS GAUPP DR STE 100
Galloway, NJ 08205
(609) 748-5015
✔ PECOS0.7 mi
Qualified Audiologist
NPI 1164945366
436 CHRIS GAUPP DR
Galloway, NJ 08205
(609) 748-5370
✔ Accepts Medicare1.0 mi
See all 919 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D1026012

Atlanticare Physician Group Urgent Care Eht · Egg Harbor Township, NJ
Active · expires May 24, 2028
CLIA Number31D1026012
Laboratory TypePhysician Office
Certificate Effective DateMay 25, 2026
Certificate Expiration DateMay 24, 2028
Laboratory DirectorDr. Edward Fog
Laboratory Phone(609) 833-9975
Laboratory LocationAtlanticare Physician Group Urgent Care Eht2500 English Creek Ave Bldg 900 Suite 908, Egg Harbor Township, NJ 08234
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 31D1002310

Atlanticare Physician Group Primary Care · Egg Harbor Township, NJ
Active · expires Aug 4, 2028
CLIA Number31D1002310
Laboratory TypePhysician Office
Certificate Effective DateAugust 5, 2026
Certificate Expiration DateAugust 4, 2028
Laboratory DirectorEdward H. Fog
Laboratory Phone(609) 833-9975
Laboratory LocationAtlanticare Physician Group Primary Care2500 English Creek Ave Bldg 1000 Suite 1002, Egg Harbor Township, NJ 08234
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 31D1104820

Atlanticare Physician Group Ob/Gyn Eht · Egg Harbor Township, NJ
Active · expires Jun 23, 2028
CLIA Number31D1104820
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorBlair A. Bergen
Laboratory Phone(609) 833-9975
Laboratory LocationAtlanticare Physician Group Ob/Gyn Eht2500 English Creek Ave Bldg 1000 Suite 1000, Egg Harbor Township, NJ 08234
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 31D1082683

Atlanticare Physician Group Endo Eht · Egg Harbor Township, NJ
Active · expires Apr 15, 2028
CLIA Number31D1082683
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorSaima J. Farghani
Laboratory Phone(609) 833-9975
Laboratory LocationAtlanticare Physician Group Endo Eht2500 English Creek Ave Bldg 800, Egg Harbor Township, NJ 08234
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Atlanticare Physician Group, PA's NPI number?

The NPI number for Atlanticare Physician Group, PA is 1003820622. It was assigned to this organization in the NPPES registry on July 28, 2006. The provider is doing business as AtlantiCare Urgent Care.

Where is Atlanticare Physician Group, PA located?

Atlanticare Physician Group, PA is located at 110 E Jimmie Leeds Rd, Galloway, NJ 08205. The listed phone number is (609) 748-2100.

What is Atlanticare Physician Group, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Atlanticare Physician Group, PA enrolled in Medicare?

Yes. Atlanticare Physician Group, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlanticare Physician Group, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 919 clinicians in 49 Medicare specialties reassign their Medicare billing to Atlanticare Physician Group, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (228), Internal Medicine (127) and Family Practice (85). Of these, 252 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Atlanticare Physician Group, PA hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Atlanticare Physician Group, PA was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.