ATLANTIC GYNECOLOGIC ON – NPI #1902804693
Obstetrics & Gynecology

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

ATLANTIC GYNECOLOGIC ON is a provider located in WALL TOWNSHIP, NJ. NPPES has assigned the NPI number 1902804693 to ATLANTIC GYNECOLOGIC ON on July 07, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207VX0201X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecologic Oncology

The NPI profile was previously updated about 18 years ago on Jan 09, 2008. 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 GYNECOLOGIC ON below.

NPI Profile for
ATLANTIC GYNECOLOGIC ON

NPI Number
1902804693
Enumeration Date

(about 21 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 GYNECOLOGIC ON
Primary location
3349 HWY 138
BLDG B SUITE F
WALL TOWNSHIP, NJ 07719-9671
Phone: (732) 280-5464 Fax: (732) 280-5443
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LISA MENDUM
PRACTICE MANAGER
Phone: (732) 280-5464
Updated
Identifiers

Identifiers for ATLANTIC GYNECOLOGIC ON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRAIL ROAD MEDICARENJCG6895
MEDICAIDNJ6734502
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
207VX0201X
- Obstetrics & Gynecology / Gynecologic Oncology (Primary)		 NJ MB48253

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.