Provider Demographics
NPI:1023358959
Name:ATLANTIC URGENT CARE, LLC
Entity Type:Organization
Organization Name:ATLANTIC URGENT CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP PHYSICIAN ENTERPRISE
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-630-8980
Mailing Address - Street 1:181 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-1020
Mailing Address - Country:US
Mailing Address - Phone:973-383-9898
Mailing Address - Fax:973-383-9665
Practice Address - Street 1:181 HIGH ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-1020
Practice Address - Country:US
Practice Address - Phone:973-383-9898
Practice Address - Fax:973-383-9665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-01
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04836900208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty