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Atlantic Gynecologic on

Gynecologic Oncology Physician in Wall Township, NJ · enumerated 2005 · authorized official Lisa Mendum, Practice Manager.

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

National Provider Identifier

1902804693

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Registry record

Entity type Organization (Type 2)
Legal business name Atlantic Gynecologic on
Practice address 3349 Hwy 138, Bldg B Suite F, Wall Township, NJ, 07719
Phone (732) 280-5464
Fax (732) 280-5443
Enumeration date Jul 7, 2005
Last updated in NPPES Jan 9, 2008

Taxonomy & classification

207VX0201X Gynecologic Oncology Physician Allopathic & Osteopathic Physicians · License MB48253 (NJ) Primary

Authorized official

Name Lisa Mendum
Title Practice Manager
Phone (732) 280-5464

Other identifiers

Identifier Type State Issuer
6734502 Medicaid NJ —
CG6895 Other NJ RAIL ROAD MEDICARE

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

Who is the authorized official for Atlantic Gynecologic on?
NPPES lists Lisa Mendum (Practice Manager) as the authorized official for this organization.
What is the NPI number for Atlantic Gynecologic on?
The NPI for Atlantic Gynecologic on is 1902804693, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-01-09.