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

Active since July 28, 2006CLIA Certified · 3 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: August 16, 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 3 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
Phone(609) 748-2100
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
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Other Names 1

Doing Business AsAtlanticare Urgent Care

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 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.

Certificate of Waiver 31D1002310

Atlanticare Physician Group Primary Care · Egg Harbor Township, NJ
Expired · Aug 4, 2026
CLIA Number31D1002310
Laboratory TypePhysician Office
Certificate Effective DateAugust 5, 2024
Certificate Expiration DateAugust 4, 2026
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ATLANTICARE PHYSICIAN GROUP PA
Non-Pharmacy Dispensing Site
110 E JIMMIE LEEDS RD
GALLOWAY, NJ 08205
Atlantic County (609) 748-2100
GALLOWAY URGENT CARE PHYSICIANS LLC
Clinic/Center (Urgent Care)
110 E JIMMIE LEEDS RD
GALLOWAY, NJ 08205
Atlantic County (609) 408-4971
ATLANTIC SLEEP HEALTH DIAGNOSTIC ASSOCIATES LLC
Internal Medicine (Sleep Medicine)
110 E JIMMIE LEEDS RD
GALLOWAY, NJ 08205
Atlantic County (609) 748-7300
REBECCA K WATKINS RPSGT, CCSH
Health Educator
110 E JIMMIE LEEDS RD
GALLOWAY, NJ 08205
Atlantic County (609) 748-7900

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.

Does Atlanticare Physician Group, PA hold CLIA laboratory certificates?

Yes. 3 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 15 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.