ATLANTICARE PHYSICIAN GROUP PA — NPI 1891141057 (Licensed & Credentialed Non-Pharmacy Dispensing Site in HAMMONTON, NJ)

CMS-1500 Box 24J / 33a • NPI

1891141057

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

332900000X

Licensed & Credentialed Non-Pharmacy Dispensing Site

Box 32 Service Location & ZIP+4

120 S WHITE HORSE PIKE, HAMMONTON, NJ, 08037-1804

✓ 9-Digit EDI 837 ZIP+4 (08037-1804)

Practice Phone & Referral Fax

(609) 567-2573

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1891141057 (ATLANTICARE PHYSICIAN GROUP PA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1891141057` (NPI-2 Organization / Facility)
Provider / Legal Name	ATLANTICARE PHYSICIAN GROUP PA
Plain-English Specialty	Licensed & Credentialed Non-Pharmacy Dispensing Site NUCC Code: `332900000X` (Non-Pharmacy Dispensing Site)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	120 S WHITE HORSE PIKE, HAMMONTON, NJ, 08037-1804
Practice Telephone / Fax	Tel: (609) 567-2573
Administrative Mailing Address	9276 SCRANTON RD, SAN DIEGO, CA, 92121-7701
Enumeration & Last Sync	Enumerated: 2016-05-06 \| CMS Record Updated: 2016-05-06
Authorized Official	KENNY HEINE (VP of Operations)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

120 S WHITE HORSE PIKE, HAMMONTON, NJ, 08037-1804

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Plain-English Taxonomy & CMS Crosswalk (332900000X)

What Does Taxonomy Code 332900000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 332900000X translates to:
"Licensed & Credentialed Non-Pharmacy Dispensing Site"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Non-Pharmacy Dispensing Site for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ATLANTICARE PHYSICIAN GROUP PA)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`332900000X` — Non-Pharmacy Dispensing Site Plain English: Licensed & Credentialed Non-Pharmacy Dispensing Site	State: NJ \| License: `25MB05339800` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ATLANTICARE PHYSICIAN GROUP PA (NPI #1891141057)