| Atlanticare Health Services - Fqhc | |
|
1401 Atlantic Ave Atlantic City NJ 08401 | |
| (609) 572-8333 | |
| Not Available |
| Full Name | Atlanticare Health Services - Fqhc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1401 Atlantic Ave, Atlantic City, New Jersey |
| Authorized Official Name and Position | Sandy Festa (EXEC DIR FQHC) |
| Authorized Official Contact | 6095726051 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanticare Health Services - Fqhc 1401 Atlantic Ave Ste 1125 Atlantic City NJ 08401-7001 Ph: (609) 572-6051 | Atlanticare Health Services - Fqhc 1401 Atlantic Ave Atlantic City NJ 08401 Ph: (609) 572-8333 |
| NPI Number | 1760527782 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 03/18/2022 |
| Medicare PECOS PAC ID | 7911810916 |
|---|---|
| Medicare Enrollment ID | O20070309000350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760527782 | NPI | - | NPPES |
| 0116599 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 24109 (New Jersey) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Zain Ul Abideen |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1902050651 PECOS PAC ID: 6608023973 Enrollment ID: I20210817003921 |
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