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ATLANTICARE MISSION HEALTH CARE GALLOWAY
NPI 1043700495
Clinic/Center - Federally Qualified Health Center (FQHC) in Galloway, NJ

Active since May 11, 2018CLIA Certified · 2 labs
54 W JIMMIE LEEDS RD, GALLOWAY, NJ 08205(609) 404-7300(609) 572-6008 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2021, May 11, 2018 (2 updates tracked since 2018).

About Atlanticare Mission Health Care Galloway NPPES

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

ATLANTICARE MISSION HEALTH CARE GALLOWAY (NPI 1043700495) is a healthcare organization registered as a federally qualified health center (fqhc) in Galloway, New Jersey and active in the NPI registry since May 2018. The organization holds 2 active CLIA laboratory certificates and lists Sandy Festa, Exec Dir Fqhc, as its authorized official.

NPPES Registry Identity

NPI1043700495
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameATLANTICARE HEALTH SERVICES INC.
Location Address54 W JIMMIE LEEDS RDGalloway, NJ 08205-9438
Mailing Address1401 Atlantic Ave Ste 1125Atlantic City, NJ 08401-7001 · (609) 572-6051 · Fax (609) 572-6001
Phone(609) 404-7300
Fax(609) 572-6008
Organization SubpartYes
Authorized OfficialSandy FestaExec Dir Fqhc · (609) 572-6051
Enumeration DateMay 11, 2018
Last NPPES UpdateMarch 18, 20222 updates tracked since enumeration
NPPES CertifiedMarch 18, 2022
✔ NPI 1043700495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/CenterTaxonomy 261Q00000X
54 W JIMMIE LEEDS RD, Galloway, NJ 08205
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Other Names 1

Doing Business AsAtlanticare Mission Health Care Galloway

Other Identifiers 1

Medicaid0028592NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 31D2152726

Atlanticare Health Services Galloway · Galloway Township, NJ
Active · expires Mar 30, 2027
CLIA Number31D2152726
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 31, 2025
Certificate Expiration DateMarch 30, 2027
Laboratory DirectorKimberly Mazur
Laboratory Phone(609) 404-7300
Laboratory LocationAtlanticare Health Services Galloway54 West Jimmie Leeds Road Suite 8, Galloway Township, NJ 08205
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 31D1030000

Atlanticare Health Services · Atlantic City, NJ
Active · expires Aug 29, 2026
CLIA Number31D1030000
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 30, 2024
Certificate Expiration DateAugust 29, 2026
Laboratory DirectorKimberly L. Mazur
Laboratory Phone(609) 572-6055
Laboratory LocationAtlanticare Health Services1401 Atlantic Avenue, Suite 2600 Altanticare Health Plex, Atlantic City, NJ 08401
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 20

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

ATLANTIC ONCOLOGY ASSOCIATES, LLC
Internal Medicine (Hematology & Oncology)
54 W JIMMIE LEEDS RD, SUITE 11
GALLOWAY, NJ 08205
Atlantic County (609) 404-9966
DANIEL L KAUFMAN LPN
Licensed Practical Nurse
54 W JIMMIE LEEDS RD, SUITE 8
GALLOWAY, NJ 08205
Atlantic County (609) 404-7300
BRIGITA ANN KELSEY
Pharmacist
54 W JIMMIE LEEDS RD
GALLOWAY, NJ 08205
Atlantic County (609) 404-7444
MICHELLE AMENDOLIA
Nurse Practitioner
54 W JIMMIE LEEDS RD
GALLOWAY, NJ 08205
Atlantic County (609) 652-1000
DR. VIREN VANKAWALA MD
Internal Medicine (Cardiovascular Disease)
54 W JIMMIE LEEDS RD
GALLOWAY, NJ 08205
Atlantic County (609) 573-5077
REBECCA CINO PHARMD
Pharmacist
54 W JIMMIE LEEDS RD
GALLOWAY, NJ 08205
Atlantic County (609) 404-7444
ELLEN LAW
Pharmacist
54 W JIMMIE LEEDS RD
GALLOWAY, NJ 08205
Atlantic County (609) 404-7444
EMILY PRAKASH
Pharmacist
54 W JIMMIE LEEDS RD
GALLOWAY, NJ 08205
Atlantic County (609) 404-7444

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 Health Services Inc.'s NPI number?

The NPI number for Atlanticare Health Services Inc. is 1043700495. It was assigned to this organization in the NPPES registry on May 11, 2018. The provider is doing business as Atlanticare Mission Health Care Galloway.

Where is Atlanticare Health Services Inc. located?

Atlanticare Health Services Inc. is located at 54 W Jimmie Leeds Rd, Galloway, NJ 08205. The listed phone number is (609) 404-7300.

What is Atlanticare Health Services Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Atlanticare Health Services Inc. hold CLIA laboratory certificates?

Yes. 2 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.

What insurance does Atlanticare Health Services Inc. accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Atlanticare Health Services Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Atlanticare Health Services Inc. was last updated on March 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.