OrganizationActive
Atlanticare Physician Group PA
NPI 1083000707 · Non-Pharmacy Dispensing Site · Galloway, NJ
Atlanticare Physician Group PA is a Non-Pharmacy Dispensing Site organization in Galloway, NJ (NPI 1083000707).
Provider details
- NPI number
- 1083000707
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp of Operations(858) 964-1506
- License
- 25MB05380400 (NJ)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
110 E Jimmie Leeds Rd
Galloway, NJ 08205-9508
Phone: (609) 748-2100
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Other names (DBA / former)
- Doing business as
- Atlanticare Urgent Care- Galloway Township
Registry dates
- Enumerated
- 2015-04-09
- Last updated
- 2015-04-29
Frequently asked questions
- What is Atlanticare Physician Group PA's NPI number?
- Atlanticare Physician Group PA's National Provider Identifier (NPI) is 1083000707, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Atlanticare Physician Group PA?
- Atlanticare Physician Group PA is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Atlanticare Physician Group PA located?
- Atlanticare Physician Group PA's practice location on file with NPPES is 110 E Jimmie Leeds Rd, Galloway, NJ 08205-9508.
- What is Atlanticare Physician Group PA's phone number?
- The practice phone number listed in the NPPES registry for Atlanticare Physician Group PA is (609) 748-2100.
- Who is the authorized official for Atlanticare Physician Group PA?
- The authorized official listed on Atlanticare Physician Group PA's NPPES record is Kenny Heine, Vp of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Atlanticare Physician Group PA's NPI active?
- Yes — Atlanticare Physician Group PA's NPI (1083000707) is active in the NPPES registry as of the last update on 2015-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.