| Atlantic Gastroenterology Associates, P.a. | |
|
3205 Fire Rd Suite 4 Egg Harbor Township NJ 08234-5857 | |
| (609) 407-1220 | |
| (609) 407-0220 |
| Full Name | Atlantic Gastroenterology Associates, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3205 Fire Rd, Egg Harbor Township, New Jersey |
| Authorized Official Name and Position | Barry Paul Kaufman (PRESIDENT) |
| Authorized Official Contact | 6094071220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Gastroenterology Associates, P.a. 3205 Fire Rd Suite 4 Egg Harbor Township NJ 08234-5857 Ph: (609) 407-1220 | Atlantic Gastroenterology Associates, P.a. 3205 Fire Rd Suite 4 Egg Harbor Township NJ 08234-5857 Ph: (609) 407-1220 |
| NPI Number | 1144240482 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 08/26/2009 |
| Medicare PECOS PAC ID | 3678560554 |
|---|---|
| Medicare Enrollment ID | O20050817000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144240482 | NPI | - | NPPES |
| 222485119 | Other | JOHN CHIESA INDIVIDUAL TI | |
| 25MB03629600 | Other | NJ | JOHN J SANTORO STATE LICE |
| 25MA01893500 | Other | NJ | LEE P ROSKY STATE LICENSE |
| 2959305 | Medicaid | NJ | |
| 25MA04967400 | Other | NJ | GARY A ROSMAN STATE LICEN |
| 25MB02888400 | Other | NJ | JOHN CHIESA STATELICENSE |
| 25MA05301400 | Other | NJ | HOWARD N GARSON STATE LIC |
| 25MA03429200 | Other | NJ | BARRY P KAUFMAN STATE LIC |
| 25MA03908500 | Other | NJ | JOSEPH L SPAAR STATE LICE |
| 25MA03637500 | Other | NJ | NIKHILESH D MEHTA STATE L |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Barry P Kaufman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154499085 PECOS PAC ID: 9133117609 Enrollment ID: I20040504000280 |
| Provider Name | Theresa M Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871798983 PECOS PAC ID: 0446248934 Enrollment ID: I20040504000399 |
| Provider Name | Gary A Rosman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548338478 PECOS PAC ID: 1153308960 Enrollment ID: I20040630000500 |
| Provider Name | Judith G Randolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194921098 PECOS PAC ID: 0042280836 Enrollment ID: I20040729000066 |
| Provider Name | Donald Petroski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336132489 PECOS PAC ID: 7911802624 Enrollment ID: I20050427000818 |
| Provider Name | Brian Berberian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861422586 PECOS PAC ID: 4486686490 Enrollment ID: I20050912000832 |
| Provider Name | Edwin Leschhorn |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679553309 PECOS PAC ID: 4981686862 Enrollment ID: I20060222000482 |
| Provider Name | Gary A Matusow |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033154463 PECOS PAC ID: 3274634381 Enrollment ID: I20070720000060 |
Alex Lieberman, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Glen Aire Dr, Egg Harbor Township, NJ 08234 Phone: 609-652-9933 | |
Atlanticare Physician Group Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2500 English Creek Ave Ste 602, Egg Harbor Township, NJ 08234 Phone: 800-658-1010 | |
Atlanticare Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 English Creek Ave Ste 601, Egg Harbor Township, NJ 08234 Phone: 609-833-9925 | |
Southern Jersey Family Medical Centers, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3003 English Creek Ave Ste C6, Egg Harbor Township, NJ 08234 Phone: 609-481-3185 Fax: 609-569-0104 | |
Harbor Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3110 Ocean Heights Ave, Egg Harbor Township, NJ 08234 Phone: 609-927-9555 Fax: 609-926-8902 | |
Classic Healthcare Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6550 Delilah Rd, Egg Harbor Township, NJ 08234 Phone: 215-938-4661 |