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

Edward R. Fog, DO

Individual provider Emergency Medicine Physician · NPI 1699707232

Edward R. Fog, DO is an Emergency Medicine in Atlantic City, New Jersey. Graduated from Rowan University School of Osteopathic Medicine in 1998, 28 years ago. Practices with Atlanticare Physician Group PA, a 503-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
28
Trained at
Rowan University School of Osteopathic Medicine
Licensed in
NJ
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone: (609) 441-8127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MB71314 (NJ)

Record details

NPI number1699707232
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 6, 2006
Last updated in NPPESDecember 21, 2007
Mailing address307 S Evergreen Ave, Woodbury, NJ 08096-2739

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 1998 (28 years in practice)
Group practice Atlanticare Physician Group Pa — 503 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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