Provider Type Icon

ATLANTIC CITY GYNECOLOGY GROUP NPI 1710013198


NPI Information

NPI: 1710013198
Provider Name: ATLANTIC CITY GYNECOLOGY GROUP
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1616 PACIFIC AVE
SUITE 316
ATLANTIC CITY, NJ
ZIP 08401
Phone: (609) 344-4554
Get Directions

ATLANTIC CITY GYNECOLOGY GROUP is a clinic center in Atlantic City, NJ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ATLANTIC CITY GYNECOLOGY GROUP NPI is 1710013198. The provider is registered as an organization entity type.

The provider's business location address is:

1616 PACIFIC AVE
SUITE 316
ATLANTIC CITY, NJ
ZIP 08401-939
Phone: (609) 344-4554
Fax: (609) 348-2565

The provider's authorized official is Allen J Kline .
The authorized official title is Owner and has the following contact phone number 60934445554.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center10161 ANEW JERSEYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15363403MEDICAIDNEW 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.