LOURDES MEDICAL CENTER OF BURLINGTON COUNTY (NPI# 1245546027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245546027 |
| Entity Type | Organization |
| Organization Name | LOURDES MEDICAL CENTER OF BURLINGTON COUNTY |
| Other Organization Name | LOURDES AFTER HOURS FAMILY PRACTICE |
| Practice Address |
200 Trenton Rd Browns Mills NJ 08015-1705 |
| Mailing Address |
500 Grove St Suite 100 Haddon Heights NJ 08035-1761 |
| Practice Telephone | 8568243400 |
| Practice Fax Number | 8568241403 |
| Mailing Telephone | 8567969200 |
| Mailing Fax Number | 8563100592 |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2010-08-31 |
| Authorized Official Name | EUGENE JOHNSON (CCO) |
| Authorized Official Telephone | 6098352900 |
| Is Organization Subpart | Y |
| Parent Organization Name | LOURDES MEDICAL CENTER OF BURLINGTON COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25MB05827400 | NJ | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lourdes After Hours Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780982637 | Lourdes Medical Center of Burlington County | Ambulance | 218a Sunset Rd, Willingboro, NJ 08046-1110 | 2011-03-02 |
| 1144492018 | Lourdes Medical Center of Burlington County | Clinic/Center | 220 Sunset Rd, Suite 1b, Willingboro, NJ 08046-1126 | 2008-03-31 |
| 1588834386 | Lourdes Medical Center of Burlington County | Obstetrics & Gynecology | 220 Sunset Rd, Suite 1b, Willingboro, NJ 08046-1126 | 2008-03-07 |
| Street Address |
200 TRENTON RD |
| City | BROWNS MILLS |
| State | NJ |
| Zip Code | 08015-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477540680 | Robert J Schott | Internal Medicine | 200 Trenton Rd, Browns Mills, NJ 08015-1705 | 2005-10-03 |
| 1841806379 | Thomas Raymond Chranowski | Pharmacist | 200 Trenton Rd, Browns Mills, NJ 08015-1764 | 2020-09-21 |
| 1306452958 | Parijat Billah | Pharmacist | 200 Trenton Rd, Browns Mills, NJ 08015-1764 | 2020-09-18 |
| 1134755168 | Mark Breeding | Physical Therapist | 200 Trenton Rd, Browns Mills, NJ 08015-1705 | 2020-03-21 |
| 1417503012 | Diana L. Paone | Nurse Practitioner | 200 Trenton Rd, Browns Mills, NJ 08015-1705 | 2019-08-11 |
| 1629574025 | Victoria Giorno | Physician Assistant | 200 Trenton Rd, Browns Mills, NJ 08015-1764 | 2018-04-04 |
| 1265949358 | Allie Campo | Nurse Practitioner | 200 Trenton Rd, Browns Mills, NJ 08015 | 2018-01-10 |
| 1043738628 | Kristee Mcgowan | Nurse Practitioner | 200 Trenton Rd, Browns Mills, NJ 08015-1705 | 2017-09-05 |
| 1356865968 | Edina Lula | Registered Nurse | 200 Trenton Rd, Browns Mills, NJ 08015-1705 | 2017-07-26 |
| 1700327012 | Meet Shah | Student in an Organized Health Care Education/Training Program | 200 Trenton Rd, Browns Mills, NJ 08015-1764 | 2017-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073130555 | Claramente LLC | Counselor | 103 Pennsyvlania Trl, Browns Mills, NJ 08015 | 2020-06-30 |
| 1861969388 | Garden State Diagnostic Imaging | Clinic/Center | 6 Earlin Avenue, 160, Brown Mills, NJ 08015 | 2018-11-02 |
| 1013497056 | Woodland Volunteer Fire & Ems Inc | Ambulance | 13 Lake Drive, Browns Mills, NJ 08015 | 2018-08-20 |
| 1306221023 | Kaisha Holloway | Clinic/Center | 605 Sandra Drive, Browns Mills, NJ 08015 | 2015-07-23 |
| 1538472873 | Ronald E Ross | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Trenton Rd - Deborah Heart & Lung Center, Mid Atlantic Surgical Associates, Browns Mills, NJ 08015 | 2010-07-15 |
| 1932333648 | Robert N Keddis | Anesthesiology | 200 Trenton Raod, Floor 1, Browns Mills, NJ 08015 | 2009-05-08 |
| 1467616995 | Vijay Kamath | Surgery | 200 Trenton Rd Ste 2130, Browns Mills, NJ 08015 | 2008-07-14 |
| 1942407747 | Christine Anne Brown | Nurse Practitioner | 130 Lakehurst Rd Frnt, Browns Mills, NJ 08015 | 2007-06-27 |
| 1861695744 | Shapiro Berlin Med Asso | Family Medicine | 34 Lakehurst Rd. Juluistown Rd, Browns Mills, NJ 08015 | 2007-06-07 |
| 1568540904 | Lorraine Varela | Podiatrist | 77 Pemberton Browns Mills Rd, Browns Mills, NJ 08015 | 2006-11-02 |
| Find all providers in zip 08015 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861695744 | Shapiro Berlin Med Asso | Family Medicine | 34 Lakehurst Rd. Juluistown Rd, Browns Mills, NJ 08015 | 2007-06-07 |
| 1477582823 | Ronald P Willoughby | Family Medicine | 130 Lakehurst Rd, Browns Mills, NJ 08015-6057 | 2006-06-30 |
| 1932234317 | Robin J. Miller | Family Medicine | 130 Lakehurst Rd, Browns Mills, NJ 08015-6057 | 2007-02-23 |
| 1821155441 | Paul Shapiro | Family Medicine | 130 Lakehurst Rd, Browns Mills, NJ 08015-6057 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234609 | Universal Management Group Inc. | Family Medicine | 611 Albert Pl, Ridgewood, NJ 07450-5308 | 2020-10-26 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1023615168 | Well Health Medical Practice | Family Medicine | 676 Amboy Ave Ste 4, Woodbridge, NJ 07095-3144 | 2020-10-01 |
| 1538776380 | Reusik | Family Medicine | 302 Brookmead Dr, Cherry Hill, NJ 08034-2729 | 2020-09-25 |
| 1265048359 | Seungyeon Lee | Family Medicine | 4609 Quail Ridge Dr, Plainsboro, NJ 08536-4232 | 2020-09-23 |
| 1558976670 | Nyc Regenerative Medicine Inc. | Family Medicine | 315 Route 34 Ste 103, Colts Neck, NJ 07722-2444 | 2020-09-15 |
| 1831700715 | Tree of Life Integrative Family Medicine | Family Medicine | 1200 Little Gloucester Rd Apt 1315, Clementon, NJ 08021-5874 | 2020-08-13 |
| 1972127629 | Alysha Marengo | Family Medicine | 326 Pine St, Pompton Lakes, NJ 07442-1617 | 2020-05-28 |
| 1790308583 | Iz Medical LLC | Family Medicine | 250 Moonachie Rd, Moonachie, NJ 07074-1378 | 2020-05-27 |
| 1629691241 | Wayne R Schneider,m.d.,llc | Family Medicine | 56 Tuckahoe Rd, Marmora, NJ 08223-1206 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | BROWNS MILLS |
| Zip Code | 08015 |
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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.