LOURDES MEDICAL ASSOCIATES, PA (NPI# 1174079735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174079735 |
| Entity Type | Organization |
| Organization Name | LOURDES MEDICAL ASSOCIATES, PA |
| Other Organization Name | LMA FARES SURGICAL ASSOCIATES AT LIFECARE |
| Practice Address |
116 Washington Crossing-pennington Road Suite 1 Pennington NJ 08534-2514 |
| Mailing Address |
500 Grove St Haddon Heights NJ 08035-1761 |
| Practice Telephone | 6097372223 |
| Mailing Telephone | 8567960200 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Authorized Official Name | STEVEN FOX (PRESIDENT) |
| Authorized Official Telephone | 8567969200 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | Y |
| Parent Organization Name | LOURDES MEDICAL ASSOCIATES, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| LMA Fares Surgical Associates at LifeCare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255856423 | Lourdes Medical Associates, Pa | Radiology | 220 Sunset Rd Ste 4, Willingboro, NJ 08046-1126 | 2017-08-09 |
| 1578083994 | Lourdes Medical Associates, Pa | Obstetrics & Gynecology | 100 Independence Blvd Ste 100, Sicklerville, NJ 08081-1039 | 2017-06-27 |
| 1235482100 | Lourdes Medical Associates, Pa | Psychiatry & Neurology | 231 Sciver Parkway, Suite A, Willingboro, NJ 08046 | 2012-10-17 |
| 1811246515 | Lourdes Medical Associates, Pa | Family Medicine | 570 Egg Harbor Rd Ste B5, Sewell, NJ 08080-2359 | 2012-09-10 |
| 1366681272 | Lourdes Medical Associates, Pa | Internal Medicine | 63 Kresson Rd Ste 104, Cherry Hill, NJ 08034-3200 | 2009-02-17 |
| 1720227630 | Lourdes Medical Associates, Pa | Internal Medicine | 110 Marter Ave Ste 501, Moorestown, NJ 08057-3120 | 2009-02-17 |
| 1285804997 | Lourdes Medical Associates, Pa | Internal Medicine | 63 Kresson Rd Ste 105, Cherry Hill, NJ 08034-3200 | 2008-03-10 |
| 1477723245 | Lourdes Medical Associates, Pa | Family Medicine | 728 Marne Hwy Ste 100c, Moorestown, NJ 08057-3128 | 2008-03-07 |
| 1194238246 | Lourdes Medical Associates, Pa | Clinical Nurse Specialist | 1113 Hospital Dr Ste 305, Willingboro, NJ 08046-1130 | 2017-11-13 |
| 1841743143 | Lourdes Medical Associates, Pa | Internal Medicine | 2275 Whitehorse Mercerville Rd, Suite 6&7, Hamilton, NJ 08619-2643 | 2016-08-03 |
| Street Address |
116 WASHINGTON CROSSING-PENNINGTON ROAD SUITE 1 |
| City | PENNINGTON |
| State | NJ |
| Zip Code | 08534-2514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105163 | Arielle Skoryk | Psychologist | 800 Denow Road, Suite C #337, Pennington, NJ 08534 | 2020-08-19 |
| 1033751904 | Theresa Marie Archer | Registered Nurse | 108 Straube Center Blvd Suite I-17, Pennington, NJ 08534 | 2019-10-12 |
| 1295216059 | Confidentialistener LLC | Psychologist | 106 Straube Ctr Blvd Ste F112, Pennington, NJ 08534 | 2018-08-28 |
| 1245722164 | Jeffrey Adam Fehder | Nurse Anesthetist, Certified Registered | Capital Health Medical Center - Hopewell, 1 Capital Way - Second Floor, Anesthesia Offices, Pennington, NJ 08534 | 2018-06-06 |
| 1942711650 | Robert Vincent Simone | Social Worker | 65 South Main Street, Bldg. B Suite B-103, Pennington, NJ 08534 | 2017-10-20 |
| 1568980266 | Oaks Integrated Care | Clinic/Center | 720 Heritage Ct, Pennington, NJ 08534 | 2017-09-01 |
| 1326573601 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 103 Heritage Court, Pennington, NJ 08534 | 2017-04-25 |
| 1891220174 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 104 Heritage Court, Pennington, NJ 08534 | 2017-04-25 |
| 1124553409 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Heritage Court, Pennington, NJ 08534 | 2017-04-25 |
| 1215486147 | Janine Disanti | Optometrist | Two Capital Way, Suite 326, Matossian Eye Associates, Pennington, NJ 08534 | 2016-10-04 |
| Find all providers in zip 08534 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932360823 | Lisa R Allen | Surgery | 2 Capital Way Ste 505, Pennington, NJ 08534-2521 | 2008-06-23 |
| 1295901338 | Evan Roy Wolarsky | Surgery | 1 Abey Dr, Pennington, NJ 08534-2902 | 2008-05-07 |
| 1902825094 | Pavani Mahadass | Surgery | 22 Michael Way, Pennington, NJ 08534-9606 | 2006-07-19 |
| 1255357877 | Cataldo Doria | Surgery | 2 Capital Way Ste 356, Pennington, NJ 08534 | 2006-07-15 |
| 1417903998 | Louis G. Fares II | Surgery | 116 Washington Crossing Rd, Suite1, Pennington, NJ 08534-2514 | 2006-05-26 |
| 1841558079 | Ashlee Nicole Godshalk Ruggles | Surgery | 2 Capital Way Ste 356, Pennington, NJ 08534-2521 | 2012-04-25 |
| 1225323728 | Louis G. Fares II, Md, Facs, LLC | Surgery | 116 Washington Crossing Rd, Suite 1, Pennington, NJ 08534-2514 | 2011-06-13 |
| 1366731671 | Christine Lotto | Surgery | 2 Capital Way Ste 356, Pennington, NJ 08534-2521 | 2011-04-07 |
| 1306142690 | Advanced Surgical Associates of Nj | Surgery | 2 Capital Way, Suite 356, Pennington, NJ 08534-2521 | 2011-02-03 |
| 1932333101 | Rose Mustafa | Surgery | 2 Capital Way Ste 505, Pennington, NJ 08534 | 2009-05-04 |
| Find all providers in PENNINGTON | ||||
| City | PENNINGTON |
| Zip Code | 08534 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.