OrganizationActive
Atlanticare Physician Group PA
NPI 1972957660 · Non-Pharmacy Dispensing Site · Clementon, NJ
Atlanticare Physician Group PA is a Non-Pharmacy Dispensing Site organization in Clementon, NJ (NPI 1972957660).
Provider details
- NPI number
- 1972957660
- 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
- 25MA08229800 (NJ)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1310 Blackwood Clementon Rd
Clementon, NJ 08021-5610
Phone: (865) 783-1802
Street-level locationGet directions
Mailing address
9276 Scranton Rd
San Diego, CA 92121-7701
Other names (DBA / former)
- Doing business as
- Atlanticare Urgent Care - Clementon
Registry dates
- Enumerated
- 2016-04-19
- Last updated
- 2016-04-19
Frequently asked questions
- What is Atlanticare Physician Group PA's NPI number?
- Atlanticare Physician Group PA's National Provider Identifier (NPI) is 1972957660, 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 1310 Blackwood Clementon Rd, Clementon, NJ 08021-5610.
- What is Atlanticare Physician Group PA's phone number?
- The practice phone number listed in the NPPES registry for Atlanticare Physician Group PA is (865) 783-1802.
- 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 (1972957660) is active in the NPPES registry as of the last update on 2016-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.