ATLANTIC SC LLC – NPI #1295494359
Clinic/Center

ATLANTIC SC LLC is an AHC clinic located in WEST ISLIP, NY. NPPES has assigned the NPI number 1295494359 to ATLANTIC SC LLC on December 15, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 3 years ago on Dec 19, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ATLANTIC SC LLC below.

NPI Profile for
ATLANTIC SC LLC

NPI Number
1295494359
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ATLANTIC SC LLC
Primary location
1145 MONTAUK HWY
WEST ISLIP, NY 11795-4909
Phone: (631) 743-1145 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARIANNE JORGENSEN
OFFICE ADMINISTRATOR
Phone: (631) 743-1145
Updated
Certification Date
Dec 15, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
261Q00000X
- Clinic/Center

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.