Healthcare Provider Details

I. General information

NPI: 1700809092
Provider Name (Legal Business Name): ATLANTIC EMERGENCY PHYSICIAN TEAM PEDIATRIC ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 HURFFVILLE CROSS KEYS RD
TURNERSVILLE NJ
08012-2453
US

IV. Provider business mailing address

PO BOX 634823
CINCINNATI OH
45263-4823
US

V. Phone/Fax

Practice location:
  • Phone: 856-582-2500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBIN TRACCI MOUGANIS
Title or Position: DIRECTOR
Credential:
Phone: 856-686-4394