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2015 Pacific Ave Atlantic City NJ 08401-6726 | |
| (609) 340-1633 | |
| (609) 340-1230 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 2015 Pacific Ave, Atlantic City, New Jersey |
| Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
5500 Maryland Way Brentwood TN 37027-4948 Ph: (888) 830-4255 | 2015 Pacific Ave Atlantic City NJ 08401-6726 Ph: (609) 340-1633 |
| NPI Number | 1700017795 |
|---|---|
| Provider Enumeration Date | 08/07/2009 |
| Last Update Date | 08/15/2022 |
| Medicare PECOS PAC ID | 2769643469 |
|---|---|
| Medicare Enrollment ID | O20240717003740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700017795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Desmond H Cheng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073541744 PECOS PAC ID: 9830142215 Enrollment ID: I20050225000093 |
| Provider Name | Theresa Rodino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699013540 PECOS PAC ID: 5890919161 Enrollment ID: I20140609000282 |
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 | |
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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 | |
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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 | |