ATLANTIC GASTRO SURGI CENTER T/A ACCESS NPI 1912131970

NPI Information

NPI: 1912131970
Provider Name: ATLANTIC GASTRO SURGI CENTER T/A ACCESS

Doing Business As: ACCESS

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
3205 FIRE RD
SUITE 3
EGG HARBOR TOWNSHIP, NJ
ZIP 08234
Phone: (609) 407-1113
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ATLANTIC GASTRO SURGI CENTER T/A ACCESS is an ambulatory surgical clinic center in Egg Harbor Township, NJ. ATLANTIC GASTRO SURGI CENTER T/A ACCESS NPI is 1912131970. The provider is registered as an organization entity type.
The provider Is Doing Business As Access.

The provider's business location address is:

3205 FIRE RD
SUITE 3
EGG HARBOR TOWNSHIP, NJ
ZIP 08234-884
Phone: (609) 407-1113
Fax: (609) 407-0330

The provider's authorized official is Jan L Delnero .
The authorized official title is Business Administrator and has the following contact phone number (609) 407-1220.

The CLIA number assigned to this NPI record is 31D0918696 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/6/2009 and was last updated on 5/6/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	22935	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	311083	MEDICARE PIN	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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