Provider Demographics
NPI:1952478885
Name:ATLANTICARE SURGERY CENTER
Entity Type:Organization
Organization Name:ATLANTICARE SURGERY CENTER
Other - Org Name:ATLANTICARE SURGERY CENTER OCEAN COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KIRK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-407-2553
Mailing Address - Street 1:798 ROUTE 539
Mailing Address - Street 2:BUILDING A SUITE 1
Mailing Address - City:LITTLE EGG HARBOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08087
Mailing Address - Country:US
Mailing Address - Phone:609-296-1122
Mailing Address - Fax:609-296-1142
Practice Address - Street 1:798 ROUTE 539
Practice Address - Street 2:BUILDING A SUITE 1
Practice Address - City:LITTLE EGG HARBOR TWP
Practice Address - State:NJ
Practice Address - Zip Code:08087-4203
Practice Address - Country:US
Practice Address - Phone:609-296-1122
Practice Address - Fax:609-296-1142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical