Atlantic Gynecologic on
NPI 1902804693 · Gynecologic Oncology Physician · Wall Township, NJ
Atlantic Gynecologic on is a Gynecologic Oncology Physician organization in Wall Township, NJ (NPI 1902804693).
Provider details
- NPI number
- 1902804693
- Entity type
- Organization
- Primary specialty
- Gynecologic Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Mendum, Practice Manager(732) 280-5464
- License
- MB48253 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 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
Mailing address
Registry dates
- Enumerated
- 2005-07-07
- Last updated
- 2008-01-09
Frequently asked questions
- What is Atlantic Gynecologic on's NPI number?
- Atlantic Gynecologic on's National Provider Identifier (NPI) is 1902804693, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Atlantic Gynecologic on?
- Atlantic Gynecologic on is classified in the NPPES registry as Gynecologic Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Atlantic Gynecologic on located?
- Atlantic Gynecologic on's practice location on file with NPPES is 3349 Hwy 138, Wall Township, NJ 07719-9671.
- What is Atlantic Gynecologic on's phone number?
- The practice phone number listed in the NPPES registry for Atlantic Gynecologic on is (732) 280-5464.
- Who is the authorized official for Atlantic Gynecologic on?
- The authorized official listed on Atlantic Gynecologic on's NPPES record is Lisa Mendum, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Atlantic Gynecologic on's NPI active?
- Yes — Atlantic Gynecologic on's NPI (1902804693) is active in the NPPES registry as of the last update on 2008-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.