Atlantic Shore Family Practice, P.A.

LBN: Atlantic Shore Family Practice, P.A.
Atlantic Shore Family Practice, P.A. is an health care organization with primary practice located at 1423 Tilton Rd Suite 3, Northfield NJ 08225-1865. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Atlantic Shore Family Practice, P.A. can be contacted via phone (609) 272-1441, or through Kader, Richard A. via phone (609) 272-1441.

Contact Information

Primary practice address
1423 Tilton Rd Suite 3 Northfield NJ 08225-1865
Fax: (609) 272-8306
Website:
Authorized official contact:
Name: Kader, Richard A. Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X MB53762 New Jersey

Profile Details

NPI number 1417273616
LBN Legal business name Atlantic Shore Family Practice, P.A.
DBA Doing business as
Authorized official Kader, Richard A. Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2010
Last updated Apr 13th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417273616 NPPES
New Jersey MEDICAID 4621905

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