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Contact Information

ESA SOUTH JERSEY BARIATRICS, P.A.
1103 WEST SHERMAN AVENUE
BUILDING 2 UNIT C
VINELAND, NJ08360
 Phone: 856-362-5259
 Fax: 856-405-6978
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ESA SOUTH JERSEY BARIATRICS, P.A.

NPI Number 1235448564
LBN Legal business name ESA SOUTH JERSEY BARIATRICS, P.A.
Authorized official AHMED ATTIA - (PHYSICIAN/PROPRIETOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/05/2010
Last updated 03/07/2022 - About 4 years ago
Identifiers
NJ License # 25MB082666100
NJ Medicaid 0148911
NJ Other 01004632800 AMERICHOICE-UHC COMMUNITY PLAN
NJ Other 3811510001 AMERIHEALTH
NJ Other 2871684000 AMERIHEALTH HMO
NJ Other 5974712 CIGNA HEALTHCARE
NJ Other 60072276 HORIZON NJ HEALTH
NJ Other P3868269 OXFORD-UNITED HEALTHCARE
NJ Other 2785305 UNITED HEALTHCARE
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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