| Atlanticare Health Services - Mission Healthcare | |
|
2009 Bacharach Blvd Atlantic City NJ 08401 | |
| (609) 344-5714 | |
| (609) 345-0775 |
| Full Name | Atlanticare Health Services - Mission Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 2009 Bacharach Blvd, Atlantic City, New Jersey |
| Authorized Official Name and Position | Sandy Festa (EXECUTIVE DIRECTOR 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 - Mission Healthcare 65 W Jimmie Leeds Rd Attn Finance J Hoke Pomona NJ 08205 Ph: (609) 569-7303 | Atlanticare Health Services - Mission Healthcare 2009 Bacharach Blvd Atlantic City NJ 08401 Ph: (609) 344-5714 |
| NPI Number | 1215987771 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 05/15/2018 |
| Medicare PECOS PAC ID | 7911810916 |
|---|---|
| Medicare Enrollment ID | O20040719001204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215987771 | NPI | - | NPPES |
| 31D103000 | Other | NJ | CMS-CLIA |
| 0028592 | Medicaid | NJ | |
| 60019117 | Other | NJ | HORIZON HEALTH HMO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 23265 (New Jersey) | Primary |
| Provider Name | Lisa R Keiner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497865497 PECOS PAC ID: 5799686861 Enrollment ID: I20040120000969 |
| Provider Name | Maria Szpiech |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730325515 PECOS PAC ID: 6901889591 Enrollment ID: I20040614000038 |
| Provider Name | Priyesh T Thakkar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689683815 PECOS PAC ID: 0547231235 Enrollment ID: I20040805000107 |
| Provider Name | Tome R Nascimento |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235156100 PECOS PAC ID: 6800700998 Enrollment ID: I20040806000018 |
| Provider Name | Robin Westcott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972595577 PECOS PAC ID: 1456314574 Enrollment ID: I20041110000205 |
| Provider Name | Sandra L Festa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295842177 PECOS PAC ID: 6305801960 Enrollment ID: I20041123000159 |
| Provider Name | Frances E Loftus |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851381438 PECOS PAC ID: 8527016849 Enrollment ID: I20050104000344 |
| Provider Name | Deborah D Bayer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821072604 PECOS PAC ID: 1850339698 Enrollment ID: I20050421000630 |
| Provider Name | Robert L Lipshutz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740200724 PECOS PAC ID: 5294770186 Enrollment ID: I20050622000036 |
| Provider Name | Kimberly L Mazur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649200106 PECOS PAC ID: 8325070766 Enrollment ID: I20050907000041 |
| Provider Name | Edwin Lopez Bernard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730147901 PECOS PAC ID: 4082634498 Enrollment ID: I20051207000042 |
| Provider Name | Saraswathi V Racherla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003987397 PECOS PAC ID: 3779583745 Enrollment ID: I20061226000001 |
| Provider Name | Brian Timms |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811955875 PECOS PAC ID: 0446250237 Enrollment ID: I20061229000077 |
| Provider Name | Augustine O Chikezie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669562393 PECOS PAC ID: 4880797174 Enrollment ID: I20070306000620 |
| Provider Name | Gayathri Sastry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659459949 PECOS PAC ID: 0143326660 Enrollment ID: I20070430000551 |
| Provider Name | David Huang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871706010 PECOS PAC ID: 0648371591 Enrollment ID: I20070723000686 |
| Provider Name | Jay Shastri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477758720 PECOS PAC ID: 5496856924 Enrollment ID: I20070727000024 |
| Provider Name | Tina Nolan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952458051 PECOS PAC ID: 0244301893 Enrollment ID: I20080625000463 |
| Provider Name | Debra J Westcott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700872314 PECOS PAC ID: 6204902075 Enrollment ID: I20080902000063 |
| Provider Name | Adaliz Rivera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508073362 PECOS PAC ID: 7719053834 Enrollment ID: I20080913000007 |
| Provider Name | Charles O Nnewihe |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760419097 PECOS PAC ID: 1557424645 Enrollment ID: I20090115000628 |
| Provider Name | Nancy C Higgins |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164522652 PECOS PAC ID: 5698775856 Enrollment ID: I20090813000249 |
| Provider Name | Christopher Bolich |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1861592347 PECOS PAC ID: 7416091988 Enrollment ID: I20100222000525 |
| Provider Name | Inga Robbins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316988876 PECOS PAC ID: 2860536349 Enrollment ID: I20100222000640 |
| Provider Name | Ines E Digenio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215113477 PECOS PAC ID: 6002953056 Enrollment ID: I20100628000918 |
| Provider Name | Abraham Alfaro |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1962573923 PECOS PAC ID: 4789873464 Enrollment ID: I20110111000828 |
| Provider Name | Jean Haspel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932146750 PECOS PAC ID: 4789863622 Enrollment ID: I20110125000722 |
| Provider Name | Kevin E Hunter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831248780 PECOS PAC ID: 6103007844 Enrollment ID: I20110301000015 |
| Provider Name | Robert J Mathews |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1902060221 PECOS PAC ID: 9739253147 Enrollment ID: I20110928000578 |
| Provider Name | Nancy A Castro-chevere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144425851 PECOS PAC ID: 5597937110 Enrollment ID: I20111004000305 |
| Provider Name | Nitin Behl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235423807 PECOS PAC ID: 9234396847 Enrollment ID: I20120209000710 |
| Provider Name | Yatish B Merchant |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598786246 PECOS PAC ID: 9638083728 Enrollment ID: I20120222000710 |
| Provider Name | Nancy E Sudol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306054978 PECOS PAC ID: 9537324389 Enrollment ID: I20120629000454 |
| Provider Name | Anan Haija |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1487869152 PECOS PAC ID: 7012040140 Enrollment ID: I20121217000322 |
| Provider Name | Jane Nolan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386700870 PECOS PAC ID: 7214182187 Enrollment ID: I20130226000090 |
| Provider Name | Natalie Desimone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336584440 PECOS PAC ID: 7315187200 Enrollment ID: I20130718000016 |
| Provider Name | Jessica Roeske |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972924165 PECOS PAC ID: 6103044417 Enrollment ID: I20140828001518 |
| Provider Name | Sivashankar Sivaraman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922259514 PECOS PAC ID: 5799977351 Enrollment ID: I20150122000715 |
| Provider Name | Darshan J Bhatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346649704 PECOS PAC ID: 8123346004 Enrollment ID: I20150407000050 |
| Provider Name | Nisha Shah |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346659802 PECOS PAC ID: 7416277546 Enrollment ID: I20150828001196 |
| Provider Name | Bradford D Bobrin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255365367 PECOS PAC ID: 1850347816 Enrollment ID: I20151208002909 |
| Provider Name | Kelly Kilroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578915989 PECOS PAC ID: 4284911280 Enrollment ID: I20170428001824 |
| Provider Name | Kelly D Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982113056 PECOS PAC ID: 0446518922 Enrollment ID: I20171212000904 |
| Provider Name | Nediya Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104207695 PECOS PAC ID: 8729387022 Enrollment ID: I20180717002023 |
| Provider Name | Navjot Singh Narula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578947230 PECOS PAC ID: 4789932914 Enrollment ID: I20180806000141 |
| Provider Name | Tejalkumar Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730588005 PECOS PAC ID: 9537489836 Enrollment ID: I20180913000670 |
| Provider Name | Andrea Lynne Dimaio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225553217 PECOS PAC ID: 3072864412 Enrollment ID: I20180924001384 |
| Provider Name | Sarah Schell Holder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316142177 PECOS PAC ID: 5496815250 Enrollment ID: I20181031001253 |
| Provider Name | Moomal Memon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538513262 PECOS PAC ID: 6507101714 Enrollment ID: I20181217001575 |
| Provider Name | Harleen Kaur Dhaliwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942654470 PECOS PAC ID: 9638414709 Enrollment ID: I20181218000682 |
| Provider Name | Susan B. Ward |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1942208418 PECOS PAC ID: 8123206687 Enrollment ID: I20190124003699 |
| Provider Name | Ramkrishna Makani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710416565 PECOS PAC ID: 4486988292 Enrollment ID: I20190628000040 |
| Provider Name | Swarnalata Debbarma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639607740 PECOS PAC ID: 5294060471 Enrollment ID: I20190710001883 |
| Provider Name | Abeera A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518377258 PECOS PAC ID: 1254662307 Enrollment ID: I20191004000099 |
| Provider Name | Allen C Ogram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871132969 PECOS PAC ID: 4789013459 Enrollment ID: I20200331002654 |
| Provider Name | Stephen Lamprou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083154934 PECOS PAC ID: 9830514462 Enrollment ID: I20200730000228 |
| Provider Name | Arthur Kwok |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265954861 PECOS PAC ID: 0446679674 Enrollment ID: I20201007001532 |
| Provider Name | Carolyn Raddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841813524 PECOS PAC ID: 7214357524 Enrollment ID: I20201026000775 |
| Provider Name | Urmil N Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386132603 PECOS PAC ID: 0648674879 Enrollment ID: I20210810001023 |
| Provider Name | Zain Ul Abideen |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1902050651 PECOS PAC ID: 6608023973 Enrollment ID: I20210817003921 |
| Provider Name | Kirsy Japa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558864678 PECOS PAC ID: 3779905534 Enrollment ID: I20210913002938 |
| Provider Name | Jennifer Ann Serback |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508539826 PECOS PAC ID: 2961809942 Enrollment ID: I20210917000032 |
| Provider Name | Paula Amin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255835435 PECOS PAC ID: 5799032454 Enrollment ID: I20211004001870 |
| Provider Name | Christopher Vandenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952890923 PECOS PAC ID: 0941694111 Enrollment ID: I20220303002604 |
| Provider Name | Abigail Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417696105 PECOS PAC ID: 5395125843 Enrollment ID: I20220630001769 |
| Provider Name | Thai Thi Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528562337 PECOS PAC ID: 8527441823 Enrollment ID: I20220819000639 |
| Provider Name | Key Duy Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770294829 PECOS PAC ID: 7012381676 Enrollment ID: I20230322000187 |
| Provider Name | Elizabeth Conover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912605817 PECOS PAC ID: 2062877509 Enrollment ID: I20230505000182 |
| Provider Name | Britany Epstein |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689018251 PECOS PAC ID: 9032403050 Enrollment ID: I20230518001873 |
| Provider Name | Thien Huu Hoang |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063904274 PECOS PAC ID: 1153789789 Enrollment ID: I20230614001195 |
| Provider Name | Stephanie Willems |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801559166 PECOS PAC ID: 3274923461 Enrollment ID: I20230619001070 |
| Provider Name | Justin Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740768571 PECOS PAC ID: 3173908522 Enrollment ID: I20230726001768 |
| Provider Name | Iqra Aftab |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720574999 PECOS PAC ID: 5294079265 Enrollment ID: I20230908001149 |
| Provider Name | Laura Joy Chinnici |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396053914 PECOS PAC ID: 4486019403 Enrollment ID: I20231114001542 |
| Provider Name | Miriam Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598452260 PECOS PAC ID: 3274981873 Enrollment ID: I20231120002956 |
| Provider Name | Maria Oquendo-claudio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942326590 PECOS PAC ID: 6204725658 Enrollment ID: I20240123003446 |
| Provider Name | Michael Khan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003515883 PECOS PAC ID: 2769829654 Enrollment ID: I20240327003050 |
| Provider Name | Srikar Vulugundam |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1629414222 PECOS PAC ID: 8820390479 Enrollment ID: I20240520001968 |
Dr Bradley A Bisk Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Brighton And Boardwalk, Tropicana Medical Unit, Atlantic City, NJ 08401 Phone: 609-340-4475 Fax: 609-343-5205 | |
John Brooks Recovery Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1931 Bacharach Blvd, Atlantic City, NJ 08401 Phone: 609-345-2020 Fax: 609-646-7027 | |
Atlanticare Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Atlantic Ave Ste 1600, Atlantic City, NJ 08401 Phone: 609-572-8555 | |
Njr Healthcare Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1616 Pacific Ave, Suite 212, Atlantic City, NJ 08401 Phone: 609-498-7220 Fax: 185-527-1739 | |
Reliance Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Baltic Ave, Atlantic City, NJ 08401 Phone: 609-441-0723 Fax: 609-441-0953 | |
Alternatives Of New Jersey Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1616 Pacific Ave, Suite 316, Atlantic City, NJ 08401 Phone: 609-344-4554 Fax: 609-348-2565 |