Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Atlanticare Physician Group PA

Organization Non-Pharmacy Dispensing Site · NPI 1972957660

Atlanticare Physician Group PA is a Non-Pharmacy Dispensing Site in Clementon, New Jersey. Licensed in New Jersey. Registered with an NPI since 2016.

Licensed in
NJ
In the registry since
2016
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1310 Blackwood Clementon Rd
Clementon, NJ 08021-5610
Phone: (865) 783-1802
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence 25MA08229800 (NJ)

Record details

NPI number1972957660
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 964-1506
Other names Atlanticare Urgent Care - Clementon
NPI enumeratedApril 19, 2016
Last updated in NPPESApril 19, 2016
Mailing address9276 Scranton Rd, Suite 100, San Diego, CA 92121-7701