ATLANTIC PRIMARY CARE PC
NPI 1174786842
Internal Medicine in Galloway, NJ

Active since July 03, 2008
72 W JIMMIE LEEDS RD, SUITE 2100, GALLOWAY, NJ 08205(609) 652-1115(609) 652-1145 Get Directions Write a Review

NPPES record last updated: December 4, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Atlantic Primary Care Pc NPPES

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

ATLANTIC PRIMARY CARE PC (NPI 1174786842) is a healthcare organization registered as an internal medicine in Galloway, New Jersey and active in the NPI registry since July 2008. The organization lists Vivkekkumar V Dasondi, Owner, as its authorized official.

NPPES Registry Identity

NPI1174786842
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameATLANTIC PRIMARY CARE PC
Location Address72 W JIMMIE LEEDS RD, SUITE 2100Galloway, NJ 08205-9406
Mailing AddressPo Box 195Northfield, NJ 08225-0195 · (609) 926-6900 · Fax (609) 926-6995
Fax(609) 652-1145
Organization SubpartNo
Authorized OfficialVivkekkumar V DasondiOwner · (609) 652-1115
Enumeration DateJuly 3, 2008
Last NPPES UpdateDecember 4, 2012
✔ NPI 1174786842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA08110600
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
72 W JIMMIE LEEDS RD, Galloway, NJ 08205

Other Identifiers 1

Medicare PIN127737NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Atlantic Primary Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Atlantic Primary Care PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1528129509
72 W JIMMIE LEEDS RD #2100
Galloway, NJ 08205
(609) 652-1115
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1104989961
318 CHRIS GAUPP DR
Galloway, NJ 08205
(609) 404-9900
✔ PECOS✔ Accepts Medicare0.1 mi

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

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 Atlantic Primary Care PC's NPI number?

The NPI number for Atlantic Primary Care PC is 1174786842. It was assigned to this organization in the NPPES registry on July 3, 2008.

Where is Atlantic Primary Care PC located?

Atlantic Primary Care PC is located at 72 W Jimmie Leeds Rd Suite 2100, Galloway, NJ 08205. The listed phone number is (609) 652-1115.

What is Atlantic Primary Care PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Atlantic Primary Care PC enrolled in Medicare?

Yes. Atlantic Primary Care PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlantic Primary Care PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Atlantic Primary Care PC, in Internal Medicine and Nurse Practitioner. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Atlantic Primary Care PC was last updated on December 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.