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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: October 25, 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 ›

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 Mission Health Care Galloway is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

105

Medicare enrollment records show 105 clinicians reassign Medicare billing to Atlanticare Mission Health Care Galloway, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 78 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 22

Nurse Practitioner22
Internal Medicine14
Psychiatry11
Family Practice10
Clinical Social Worker9
Critical Care (Intensivists)6
Endocrinology5
Nephrology4
14 other specialties24

Nearest to this location (20)

See all 105
John Attobrah, NP
Nurse Practitioner
NPI 1871210344
54 W JIMMIE LEEDS RD STE 8
Galloway, NJ 08205
(609) 407-7300
✔ PECOS✔ Accepts MedicareSame address
Maria Castaneda, LCSW
Clinical Social Worker
NPI 1487452470
54 W JIMMIE LEEDS RD
Galloway, NJ 08205
(609) 404-7300
✔ PECOS✔ Accepts MedicareSame address
Moomal Memon, MD
Internal Medicine
NPI 1538513262
54 W JIMMIE LEEDS RD
Galloway, NJ 08205
(609) 404-7300
✔ PECOS✔ Accepts MedicareSame address
Abraham Alfaro, D.O., PH.D.
Physical Medicine and Rehabilitation
NPI 1962573923
61 W. JIMMIE LEEDS ROAD
Pomona, NJ 08240
(609) 748-5380
✔ PECOS✔ Accepts Medicare0.1 mi
Anan Haija, M.D.
Rheumatology
NPI 1487869152
318 CHRIS GAUPP DR
Galloway, NJ 08205
(609) 748-7104
✔ PECOS✔ Accepts Medicare0.2 mi
Yatish Merchant, MD
Cardiovascular Disease (Cardiology)
NPI 1598786246
318 CHRIS GAUPP DR
Galloway, NJ 08205
(609) 404-9900
✔ PECOS✔ Accepts Medicare0.2 mi
Tome Nascimento, MD
Cardiovascular Disease (Cardiology)
NPI 1235156100
318 CHRIS GAUPP DR
Galloway, NJ 08205
(609) 404-9900
✔ PECOS0.2 mi
Colin Peters, D.O.
Pulmonary Disease
NPI 1376077693
318 CHRIS GAUPP DR
Galloway, NJ 08205
(609) 748-7300
✔ PECOS✔ Accepts Medicare0.2 mi
Susan Ward, M.D.
Rheumatology
NPI 1942208418
318 CHRIS GAUPP DR
Galloway, NJ 08205
(609) 748-7104
✔ PECOS✔ Accepts Medicare0.2 mi
John Kern, DO
Critical Care (Intensivists)
NPI 1588930879
65 W JIMMIE LEEDS RD
Pomona, NJ 08240
(609) 748-7089
✔ PECOS✔ Accepts Medicare0.3 mi
Yaron Raducanu, DPM
Podiatry
NPI 1134117625
408 CHRIS GAUPP DR STE 300
Galloway, NJ 08205
(609) 404-0700
✔ PECOS✔ Accepts Medicare0.3 mi
Nadia Sadik, M.D.
Critical Care (Intensivists)
NPI 1295791861
741 S 2ND AVE SUITE A
Galloway, NJ 08205
(609) 748-7300
✔ PECOS✔ Accepts Medicare1.7 mi
Nancy Sudol, ANPC
Nurse Practitioner
NPI 1306054978
408 E JIMMIE LEEDS RD
Galloway, NJ 08205
(609) 652-6947
✔ PECOS2.6 mi
Manish Trivedi, M.D.
Infectious Disease
NPI 1760785414
208 WEST WHITEHORSE PIKE
Pomona, NJ 08240
(609) 652-2256
✔ PECOS✔ Accepts Medicare3.9 mi
Iqra Aftab, MD
Rheumatology
NPI 1720574999
2500 ENGLISH CREEK AVE BLDG 800
Egg Harbor Township, NJ 08234
(609) 833-9844
✔ PECOS✔ Accepts Medicare4.4 mi
Syed Ammar, MD
Psychiatry
NPI 1275188948
2500 ENGLISH CREEK AVE BLDG 900, STE 905
Egg Harbor Township, NJ 08234
(609) 833-9933
✔ PECOS✔ Accepts Medicare4.4 mi
Abigail Broschard
Registered Dietitian or Nutrition Professional
NPI 1770356271
2500 ENGLISH CREEK AVE STE 200
Egg Harbor Township, NJ 08234
(609) 231-3737
✔ Accepts Medicare4.4 mi
Britany Epstein
Endocrinology
NPI 1689018251
2500 ENGLISH CREEK AVE BLDG 800
Egg Harbor Township, NJ 08234
(609) 407-2277
✔ PECOS✔ Accepts Medicare4.4 mi
Kevin Hunter, MD
Neurology
NPI 1831248780
2500 ENGLISH CREEK AVE BUILDING 800
Egg Harbor Township, NJ 08234
(609) 407-2277
✔ PECOS✔ Accepts Medicare4.4 mi
Abeera Khan, M.D
Internal Medicine
NPI 1518377258
2500 ENGLISH CREEK AVE BLDG 800
Egg Harbor Township, NJ 08234
(609) 407-2277
✔ PECOS✔ Accepts Medicare4.4 mi
See all 105 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 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, 2028
CLIA Number31D1030000
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 30, 2026
Certificate Expiration DateAugust 29, 2028
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.

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.

Is Atlanticare Health Services Inc. enrolled in Medicare?

Yes. Atlanticare Health Services Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlanticare Health Services Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 105 clinicians in 22 Medicare specialties reassign their Medicare billing to Atlanticare Health Services Inc.. 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 (22), Internal Medicine (14) and Psychiatry (11). Of these, 3 practice at this address and 78 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.