LOURDES MEDICAL ASSOCIATES, PA (NPI# 1699105064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699105064 |
| Entity Type | Organization |
| Organization Name | LOURDES MEDICAL ASSOCIATES, PA |
| Other Organization Name | LOURDES MEDICAL ASSOCIATES PERINATOLOGY SERVICES |
| Practice Address |
1601 Haddon Ave Camden NJ 08103-3109 |
| Mailing Address |
500 Grove St Suite 100 Haddon Heights NJ 08035-1761 |
| Practice Telephone | 8567573993 |
| Practice Fax Number | 8567573045 |
| Mailing Telephone | 8567969200 |
| Mailing Fax Number | 8567969397 |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2013-11-20 |
| Authorized Official Name | DR. STEVEN FOX (PRESIDENT) |
| Authorized Official Telephone | 8567969200 |
| Is Organization Subpart | Y |
| Parent Organization Name | LOURDES MEDICAL ASSOCIATES, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6535704 | 05 |
| Other Name | Type Code |
|---|---|
| Lourdes Medical Associates Perinatology Services | 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 |
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| 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 | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225126378 | Robin Perry | Obstetrics & Gynecology | 1 Cooper Plz Rm 623, Cooper Perinatology Associates, Camden, NJ 08103-1461 | 2006-10-11 |
| 1215187141 | Lourdes Perinatology Services | Obstetrics & Gynecology | 1601 Haddon Ave, Camden, NJ 08103-3109 | 2008-09-29 |
| 1841377942 | Meena Khandelwal | Obstetrics & Gynecology | 1 Cooper Plz, Suite 623, Camden, NJ 08103-1461 | 2006-11-01 |
| 1831289529 | Elyce H Cardonick | Obstetrics & Gynecology | 1 Cooper Plz, Dorrance Building, Room 623, Camden, NJ 08103-1461 | 2006-10-13 |
| 1972609899 | Thomas Westover | Obstetrics & Gynecology | 1 Cooper Plz, Room 623, Camden, NJ 08103-1461 | 2006-09-16 |
| 1588674386 | Tuan A Dinh | Obstetrics & Gynecology | 1 Cooper Plz, Dorrance Blg,suite 623, Camden, NJ 08103-1461 | 2006-08-08 |
| 1184644973 | Cooper Perinatology Associates, PC | Obstetrics & Gynecology | 1 Cooper Plz, Dorrance Bldg, 6th Floor, Camden, NJ 08103-1461 | 2006-07-21 |
| 1538114327 | Lourdes Perinatology Services | Obstetrics & Gynecology | 1600 Haddon Ave, Perinatology, Camden, NJ 08103-3101 | 2006-05-23 |
| 1538158613 | Steven M Feld | Obstetrics & Gynecology | One Cooper Plaza, Dorrance Bldg Room 623, Camden, NJ 08103 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760947519 | Yale Perinatal Associates, LLC | Obstetrics & Gynecology | 4 Equinox Ln, Freehold, NJ 07728-8651 | 2019-02-06 |
| 1861894982 | Saint Peter's Specialty Physicians, P.C. | Obstetrics & Gynecology | 2290 W County Line Rd Ste 101, Jackson, NJ 08527-2156 | 2014-09-19 |
| 1043558471 | Perinatal & Gynecological Sonography Services, LLC | Obstetrics & Gynecology | 1860 Springfield Ave, Maplewood, NJ 07040-2905 | 2013-01-18 |
| 1679838296 | Ruchira Sharma | Obstetrics & Gynecology | 125 Paterson St Fl Street2, New Brunswick, NJ 08901-1962 | 2012-07-10 |
| 1316207962 | Antonia Francis Kim | Obstetrics & Gynecology | 30 Prospect Ave # 2w-73, Hackensack, NJ 07601-1915 | 2012-05-16 |
| 1295063410 | Kenneth Allen Kappy | Obstetrics & Gynecology | 9 Harrison Way, Mount Arlington, NJ 07856-2325 | 2009-11-29 |
| 1407087711 | George Guirguis | Obstetrics & Gynecology | 104 Hudson St Ste 2a, Hoboken, NJ 07030-5795 | 2009-08-04 |
| 1114182763 | Ahmad Khalili | Obstetrics & Gynecology | 648 Avenue C, Bayonne, NJ 07002-3815 | 2008-07-23 |
| 1740464882 | Royland Robinson | Obstetrics & Gynecology | 100 Old Palisade Rd Apt 1412, Fort Lee, NJ 07024-7016 | 2007-12-26 |
| 1073715108 | Adam J Duhl | Obstetrics & Gynecology | 599 Ramapo Valley Rd, Oakland, NJ 07436-2817 | 2007-06-01 |
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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.