LOURDES MEDICAL ASSOCIATES, PA (NPI# 1659776102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659776102 |
| Entity Type | Organization |
| Organization Name | LOURDES MEDICAL ASSOCIATES, PA |
| Other Organization Name | LOURDES MEDICAL ASSOCIATES CENTER FOR TRANSPLANTION |
| Practice Address |
1601 Haddon Ave Camden NJ 08103-3109 |
| Mailing Address |
500 Grove St Suite 100 Haddon Heights NJ 08035-1761 |
| Practice Telephone | 8567573840 |
| Practice Fax Number | 8567573519 |
| Mailing Telephone | 8567969200 |
| Mailing Fax Number | 8567969397 |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |
| Authorized Official Name | DR. STEVEN FOX (PRESIDENT) |
| Authorized Official Telephone | 8567969200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | LOURDES MEDICAL ASSOCIATES, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0008X |
Internal Medicine Specialization: Hepatology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6535704 | 05 |
| Other Name | Type Code |
|---|---|
| Lourdes Medical Associates Center for Transplantion | 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 |
| 1174079735 | Lourdes Medical Associates, Pa | Surgery | 116 Washington Crossing-pennington Road, Suite 1, Pennington, NJ 08534-2514 | 2016-09-01 |
| 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 |
| Street Address |
1601 HADDON AVE |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144219130 | Michael J Deary | Obstetrics & Gynecology | 1601 Haddon Ave, Camden, NJ 08103-3109 | 2005-10-21 |
| 1700483906 | Khoa Vu | Pharmacist | 1601 Haddon Ave, Camden, NJ 08103-3109 | 2020-10-01 |
| 1861030223 | Marie-claude Udell | Registered Nurse | 1601 Haddon Ave, Camden, NJ 08103-3109 | 2019-12-17 |
| 1912548579 | Diane G Farrington | Nurse Practitioner | 1601 Haddon Ave, Camden, NJ 08103-3109 | 2019-10-04 |
| 1134779630 | Christie F Babilonia | Social Worker | 1601 Haddon Ave, Camden, NJ 08103-3109 | 2019-09-17 |
| 1598314957 | Yvonne O'donnell | Nurse Practitioner | 1601 Haddon Ave, Camden, NJ 08103-3109 | 2019-09-09 |
| 1881162485 | Vanessa Tortoreto | Social Worker | 1601 Haddon Ave, Camden, NJ 08103-3109 | 2018-11-13 |
| 1104316082 | Patricia Ann Wixted | Dietitian, Registered | 1601 Haddon Ave, Camden, NJ 08103-3109 | 2018-05-16 |
| 1770083701 | Christine Minerva | Social Worker | 1601 Haddon Ave, Camden, NJ 08103-3109 | 2018-02-16 |
| 1730695305 | The Osborn Family Health Center, Inc. | Clinic/Center | 1601 Haddon Ave, Camden, NJ 08103-3109 | 2017-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| Taxonomy Code | 207RI0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hepatology |
| The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs. |
| Notes: Training Programs, and/or Fellowships, Preceptorships: The American Association for the Study of Liver Diseases (AASLD) is the major professional society organized for physicians with an interest in Hepatology. A subcommittee of that organization has published guidelines for training programs in the 1992 November issue of Hepatology. Source: The American Board of Internal Medicine 9/1993 ACGME Accredited Residency Program Requirements: None |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598918807 | Gillian Ann Zeldin | Internal Medicine | 30 Eagle Ridge Way, West Orange, NJ 07052-4209 | 2008-10-30 |
| 1285804997 | Lourdes Medical Associates, Pa | Internal Medicine | 63 Kresson Rd Ste 105, Cherry Hill, NJ 08034-3200 | 2008-03-10 |
| 1568454064 | Raja Gopal Reddy Edula | Internal Medicine | 185 S Orange Ave, Msb, H-538, Newark, NJ 07103-2757 | 2005-08-19 |
| 1467452565 | Elsayed A Sahloul | Internal Medicine | 507 48th St, Union City, NJ 07087-2710 | 2005-07-29 |
| 1043651110 | Capital Health Center for Liver Disease | Internal Medicine | 2 Capital Way, Suite 380, Pennington, NJ 08534-2521 | 2013-07-17 |
| 1841552593 | Raquel Olivo Villabrille | Internal Medicine | 150 Bergen St, Newark, NJ 07103-2496 | 2012-06-08 |
| 1902067952 | Maliha Ahmad | Internal Medicine | 185 S Orange Ave, Msb, Room H-534, Newark, NJ 07103-2757 | 2008-06-23 |
| 1073573663 | Hisham Elgenaidi | Internal Medicine | 63 Kresson Road, Suite 105, Cherry Hill, NJ 08034 | 2006-03-27 |
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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.