Healthcare Provider Details

I. General information

NPI: 1235978487
Provider Name (Legal Business Name): ATLANTIC HEALTH PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2024
Last Update Date: 05/20/2024
Certification Date: 05/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 GREENWICH ST
BELVIDERE NJ
07823-1409
US

IV. Provider business mailing address

PO BOX 95000
PHILADELPHIA PA
19195-7550
US

V. Phone/Fax

Practice location:
  • Phone: 908-475-8750
  • Fax: 908-475-8755
Mailing address:
  • Phone: 844-362-1735
  • Fax: 973-290-7495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: STEVEN JAY SHERIS
Title or Position: PRESIDENT
Credential: MD
Phone: 973-630-8947