LOURDES MEDICAL ASSOCIATES, PA (NPI# 1679866818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679866818 |
| Entity Type | Organization |
| Organization Name | LOURDES MEDICAL ASSOCIATES, PA |
| Practice Address |
1113 Hospital Dr Suite 203 Willingboro NJ 08046-1103 |
| Mailing Address |
500 Grove St Suite 100 Haddon Heights NJ 08035-1761 |
| Practice Telephone | 6098353624 |
| Practice Fax Number | 6098353628 |
| Mailing Telephone | (856) 796-9200 |
| Mailing Fax Number | 8563100592 |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2017-12-04 |
| 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 | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
25MA02969000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6535704 | 05 |
| 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 |
1113 HOSPITAL DR SUITE 203 |
| City | WILLINGBORO |
| State | NJ |
| Zip Code | 08046-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467451823 | Lisa Ann Medvetz | Family Medicine | 1113 Hospital Dr, Suite 100, Willingboro, NJ 08046-1103 | 2005-07-19 |
| 1396020756 | Lourdes Medical Associates, P.a. | Surgery | 1113 Hospital Dr, Suite 100, Willingboro, NJ 08046-1103 | 2011-10-18 |
| 1558595801 | Cynthia Louise Malin | Nurse Practitioner | 1113 Hospital Dr, 1st Floor, Willingboro, NJ 08046-1103 | 2009-05-14 |
| 1427203694 | Robert Jaron Shmuts | Internal Medicine | 1113 Hospital Dr, Suite 305, Willingboro, NJ 08046-1103 | 2008-12-01 |
| 1386842987 | Michael J Horwitz | Internal Medicine | 1113 Hospital Dr, Professional East Bldg, Suite 202 A, Willingboro, NJ 08046-1103 | 2007-07-05 |
| 1336346493 | Carol Ellen Mest | Clinical Nurse Specialist | 1113 Hospital Dr, Suite 100, Willingboro, NJ 08046-1103 | 2007-06-29 |
| 1265578850 | Affiliated Oral Surgery Group,pc | Dentist | 1113 Hospital Dr, Suite 300, Willingboro, NJ 08046-1103 | 2007-01-30 |
| 1013020387 | Foot Health Centers, P.a. | Podiatrist | 1113 Hospital Dr, Bld E., Suite 106, Willingboro, NJ 08046-1103 | 2006-08-17 |
| 1417964768 | Joseph P Focarile | Dentist | 1113 Hospital Dr, Suite 300, Willingboro, NJ 08046-1103 | 2006-08-01 |
| 1982690020 | Philadelphia Eye Associates of South Jersey | Ophthalmology | 1113 Hospital Dr, Suite 302, Willingboro, NJ 08046-1103 | 2005-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548910 | Meghan Chan | Pharmacist | 4296 Us-130, Willingboro, NJ 08046 | 2020-11-02 |
| 1861004251 | Magdalena Alicja Szostak | Pharmacist | Pharmacy Dept 5987, 4296 Route 130, Willingboro Nj, Willingboro, NJ 08046 | 2020-08-18 |
| 1114560851 | Brian Paul Leonhardt | Physician Assistant | 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 | 2019-10-25 |
| 1144702804 | Iyanuoluwa Oluwafunmiso Alonge | Specialist/Technologist | 2009 Lewis Drive, Willingboro, NJ 08046 | 2018-08-29 |
| 1972095826 | Felicia Ann Ellis | Behavior Technician | 38 Trinity Turn, Wilingboro, NJ 08046 | 2018-06-05 |
| 1134630510 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 2091 Route 130 N, Willingboro, NJ 08046 | 2017-10-12 |
| 1205387560 | Lj's Senior Care Services LLC | Home Health | 8 Peartree Lane, Willingboro, NJ 08046 | 2016-10-20 |
| 1174976963 | Dungarvin New Jersey, LLC-rancocas Day Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1000 Rev Dr Martin Luther King Jr Dr, Willingboro, NJ 08046 | 2016-07-18 |
| 1548633845 | Caringhouse Projects, Inc | Respite Care | 48 Toledo Lane, Willingboro, NJ 08046 | 2015-11-09 |
| 1275927352 | Cheryl Louise Avent-price | Social Worker | 130 Tiffany Lane, Willingboro, NJ 08046 | 2015-03-26 |
| Find all providers in zip 08046 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427203694 | Robert Jaron Shmuts | Internal Medicine | 1113 Hospital Dr, Suite 305, Willingboro, NJ 08046-1103 | 2008-12-01 |
| 1023096575 | Gregory Scott Lesser | Internal Medicine | 218c Sunset Rd, Willingboro, NJ 08046-1104 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144843483 | Alok Goyal, M.d. | Internal Medicine | 2509 Park Ave Ste 1a, South Plainfield, NJ 07080-5300 | 2020-05-21 |
| 1386111524 | Premier Gastroenterology of Hamilton | Internal Medicine | 2271 Route 33 Ste 110, Hamilton, NJ 08690-1749 | 2018-10-25 |
| 1063908739 | Hemorrhoids Usa Pa | Internal Medicine | 300b Princeton Hightstown Rd Ste 206a, East Windsor, NJ 08520-1400 | 2018-07-06 |
| 1275038499 | Srinivas Madane LLC | Internal Medicine | 33 Ridgeline Dr, Long Valley, NJ 07853-3376 | 2018-03-28 |
| 1043726821 | Gi Endoscopy Practice LLC | Internal Medicine | 44 State Rt 23 Ste 7, Riverdale, NJ 07457-1603 | 2017-12-15 |
| 1326553033 | Richard G Pizzano | Internal Medicine | 135 Bloomfield Ave Ste K, Bloomfield, NJ 07003-5902 | 2017-12-05 |
| 1609387109 | Medigest Healthcare Services LLC | Internal Medicine | 1030 Saint Georges Ave Ste 103a, Avenel, NJ 07001-1330 | 2017-10-24 |
| 1306372578 | Advocare Allied Gastrointestinal Associates | Internal Medicine | 401 Route 73 N, Bldg 10, Ste 320, Lake Center Executive Park, Marlton, NJ 08053 | 2017-05-10 |
| 1144779133 | East Brunswick Endoscopy Center Inc | Internal Medicine | 385 Highway 18, East Brunswick, NJ 08816-5703 | 2016-10-01 |
| 1841651965 | Kovil Ramaswamy Md Pa | Internal Medicine | 534 Avenue E Ste 1-a, Bayonne, NJ 07002-3987 | 2016-03-17 |
| Find all providers with the same taxonomy | ||||
| City | WILLINGBORO |
| Zip Code | 08046 |
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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.