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Atlanticare Physician Group PA

Non-Pharmacy Dispensing Site in Galloway, NJ · enumerated 2015 · authorized official Kenny Heine, Vp of Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083000707

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Registry record

Entity type Organization (Type 2)
Legal business name Atlanticare Physician Group PA
Other name <Unavail>
Parent organization Medvantx, Inc.
Practice address 110 E Jimmie Leeds Rd, Galloway, NJ, 08205
Phone (609) 748-2100
Enumeration date Apr 9, 2015
Last updated in NPPES Apr 29, 2015

Taxonomy & classification

332900000X Non-Pharmacy Dispensing Site Suppliers · License 25MB05380400 (NJ) Primary

Authorized official

Name Kenny Heine
Title Vp of Operations
Phone (858) 964-1506

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-04-29. Verify at npiregistry.cms.hhs.gov.
Where is Atlanticare Physician Group PA located?
The practice location on file with NPPES is in Galloway, NJ.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-04-29.