Healthcare Provider Details

I. General information

NPI: 1407544927
Provider Name (Legal Business Name): ATLANTIC HEALTH PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2023
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 PARK AVE
PLAINFIELD NJ
07060-3228
US

IV. Provider business mailing address

465 SOUTH ST STE 200
MORRISTOWN NJ
07960-6439
US

V. Phone/Fax

Practice location:
  • Phone: 908-755-0707
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

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