Provider Demographics
NPI:1790772226
Name:ATLANTICARE SURGERY CENTER CAPE MAY - L.L.C.
Entity Type:Organization
Organization Name:ATLANTICARE SURGERY CENTER CAPE MAY - L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ACKERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-407-2263
Mailing Address - Street 1:106 COURT HOUSE SOUTH DENNIS RD
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-1971
Mailing Address - Country:US
Mailing Address - Phone:609-465-0300
Mailing Address - Fax:609-465-8771
Practice Address - Street 1:106 COURT HOUSE SOUTH DENNIS RD
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-1971
Practice Address - Country:US
Practice Address - Phone:609-465-0300
Practice Address - Fax:609-465-8771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-30
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22447261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
7729688OtherAETNA
NJ0002149000OtherAMERIHEALTH
NJ311103OtherHORIZON BC/BS NJ
NJ087469OtherPROVIDER NUMBER
NJ311103OtherHORIZON BC/BS NJ
NJ=========OtherATLANTICARE