ATLANTICARE PHYSICIAN GROUP, PA
NPI 1003820622
Clinic/Center - Urgent Care in Galloway, NJ
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 31D1082683
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-15-2028
About ATLANTICARE PHYSICIAN GROUP, PA
This page provides the complete NPI Profile along with additional information for Atlanticare Physician Group, Pa, a provider established in Galloway, New Jersey operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1003820622 assigned on July 2006. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Robin Deshields (Professional Rev Cycle Bus Partner)
- NPI
- 1003820622 Verify this NPI
- Provider Name
- ATLANTICARE PHYSICIAN GROUP, PA
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 110 E JIMMIE LEEDS RD GALLOWAY, NJ 08205
- Location Phone
- (609) 748-2100
- Location Fax
- (609) 748-2101
- Mailing Address
- 2500 ENGLISH CREEK AVE BLDG 900 EGG HARBOR TOWNSHIP, NJ 08234
- Mailing Phone
- (609) 407-2380
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-28-2006
- Last Update Date
- 05-14-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 31D1082683
- Facility Type
- Physician Office
- Certificate Effective Date
- April 16, 2026
- Certificate Expiration Date
- April 15, 2028
- Laboratory Director
- SAIMA J. FARGHANI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Atlanticare Physician Group, Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
GALLOWAY, NJ 08205
GALLOWAY, NJ 08205
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003820622, enumerated as an "organization" on July 28, 2006.
The provider is located at 110 E JIMMIE LEEDS RD GALLOWAY, NJ 08205 and the phone number is (609) 748-2100.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
