ATLANTIC SHORE FAMILY PRACTICE P.A. NPI 1417273616

NPI Information

NPI: 1417273616
Provider Name: ATLANTIC SHORE FAMILY PRACTICE, P.A.
Classification: Clinic/Center - 261QM2500X
Specialization: Medical Specialty
Entity Type: Organization
Address: 1423 TILTON RD
SUITE 3
NORTHFIELD, NJ
ZIP 08225
Phone: (609) 272-1441

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NPI Details

ATLANTIC SHORE FAMILY PRACTICE, P.A. is a medical specialty clinic center in Northfield, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ATLANTIC SHORE FAMILY PRACTICE, P.A. NPI is 1417273616. The provider is registered as an organization entity type.

The provider's business location address is:

1423 TILTON RD
SUITE 3
NORTHFIELD, NJ
ZIP 08225-865
Phone: (609) 272-1441
Fax: (609) 272-8306

The provider's authorized official is Richard A. Kader .
The authorized official title is President and has the following contact phone number (609) 272-1441.

The enumeration date for this NPI number is 4/13/2010 and was last updated on 4/13/2010.

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	261QM2500X	Clinic/Center	Medical Specialty	MB53762	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	4621905	MEDICAID	NEW JERSEY
2	641638	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: 11/21/2025

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