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Contact Information

ATLANTIC EMERGENCY ASSOCIATES, PA - MAINLAND LOCATION
JIMMIE LEEDS ROAD
POMONA, NJ08240
 Phone: 609-652-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for ATLANTIC EMERGENCY ASSOCIATES, PA - MAINLAND LOCATION

NPI # 1760578876
LBN Legal business name ATLANTIC EMERGENCY ASSOCIATES, PA - MAINLAND LOCATION
Authorized official STEPHEN WALSH - (BUSINESS MANGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/05/2006
Last updated 07/16/2019 - About 7 years ago
Identifiers
NJ Medicaid 0075141
NJ Other 1105322 AETNA
NJ Other 91001879601 AMERICHOICE
NJ Other 2639764000 AMERIHEALTH
NJ Other 611602901 BLACK LUNG
NJ Other 611602901 ENERGY
NJ Other 60018386 HORIZON NJ HEALTH
NJ Other 30027297 KEYSTONE MERCY
NJ Other 36829 KEYSTONE MERCY
NJ Other 611602901 LONGSHORE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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