LOURDES MEDICAL ASSOCIATES, PA (NPI# 1134504350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134504350 |
| Entity Type | Organization |
| Organization Name | LOURDES MEDICAL ASSOCIATES, PA |
| Other Organization Name | LOURDES MEDICAL ASSOCIATES COLLINGSWOOD FAMILY MEDICAL CENTER |
| Practice Address |
275 Haddon Ave Collingswood NJ 08108-1121 |
| Mailing Address |
500 Grove St Suite 100 Haddon Heights NJ 08035-1761 |
| Practice Telephone | 8568583424 |
| Practice Fax Number | 8568583375 |
| Mailing Telephone | 8567969200 |
| Mailing Fax Number | 8567969397 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6535704 | 05 |
| Other Name | Type Code |
|---|---|
| Lourdes Medical Associates Collingswood Family Medical Center | 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 |
275 HADDON AVE |
| City | COLLINGSWOOD |
| State | NJ |
| Zip Code | 08108-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710949904 | Jason N Moraleda | Family Medicine | 275 Haddon Ave, Collingswood Medical Center, Collingswood, NJ 08108-1121 | 2006-04-04 |
| 1255621041 | South Jersey Spine & Rehabilitation LLC | Chiropractor | 275 Haddon Ave, Suite C, Collingswood, NJ 08108-1121 | 2011-04-13 |
| 1861532483 | Dr. Mark Tirone, Dpm, LLC | Podiatrist | 275 Haddon Ave, Collingswood, NJ 08108-1121 | 2007-02-07 |
| 1053462929 | Steven M Bartasius | Chiropractor | 275 Haddon Ave, Suite C, Collingswood, NJ 08108-1121 | 2007-01-16 |
| 1588601967 | Collingswood Family Medicine, P.a. | Family Medicine | 275 Haddon Ave, Collingswood Medical Center, Collingswood, NJ 08108-1121 | 2006-06-02 |
| 1003862970 | Mark Tirone | Podiatrist | 275 Haddon Ave, Collingswood, NJ 08108-1121 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629569942 | Breathe Life Physical Therapy & Wellness | Physical Therapist | 915 Haddon Ave, Collingswood, NJ 08108 | 2018-05-22 |
| 1144718545 | Genesis Counseling Center, Inc | Counselor | 566 Hadden Ave, Collingswood, NJ 08108 | 2018-05-01 |
| 1417486069 | Village Wrap, Inc | Clinic/Center | 316 Haddon Avenue, Collingsgwood, NJ 08108 | 2017-06-07 |
| 1518493915 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Stokes Ave, Collingswood, NJ 08108 | 2017-05-04 |
| 1932659778 | Virtua Medical Group, Pa | Clinic/Center | 602 W Cuthbert Blvd Unit 26, Haddon Township, NJ 08108 | 2016-10-05 |
| 1467808543 | Kevin M Lenny | Social Worker | 215 Highland Avenue Suite C, Haddon Township, NJ 08108 | 2016-05-09 |
| 1477933083 | Tam Thien Tran | Pharmacist | 7 Mac Arthur Blvd #n0515, Haddon Township, NJ 08108 | 2015-06-09 |
| 1619364536 | United Methodist Homes of New Jersey | Assisted Living Facility | 460 Haddon Avenue, Collingswood, NJ 08108 | 2015-04-17 |
| 1326465808 | Jacqueline Yvonne Thomas | Counselor | 566 Haddon Ave., Genesis Counseling Services, Collingswood, NJ 08108 | 2014-03-24 |
| 1790118941 | Jessica Ann Charlton | Counselor | 900 Haddon Ave Ste 336, Collingswood, NJ 08108 | 2013-08-12 |
| Find all providers in zip 08108 | ||||
| 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 |
|---|---|---|---|---|
| 1629096821 | Robert Jerald Winn | Family Medicine | 575 Haddon Ave Unit 1, Collingswood, NJ 08108-1445 | 2006-07-17 |
| 1376578237 | Ronald P. Ciccone | Family Medicine | 900 Haddon Ave, Suite 136, Collingswood, NJ 08108-2101 | 2006-07-11 |
| 1255369369 | Lance William Neveling | Family Medicine | 600 Atlantic Ave, Collingswood, NJ 08108-3042 | 2006-06-29 |
| 1710949904 | Jason N Moraleda | Family Medicine | 275 Haddon Ave, Collingswood Medical Center, Collingswood, NJ 08108-1121 | 2006-04-04 |
| 1699246827 | Real Wellness LLC | Family Medicine | 575 Haddon Ave Unit 1, Collingswood, NJ 08108-1445 | 2018-12-16 |
| 1174947659 | Ronald P. Ciccone, M.d. P.C. | Family Medicine | 900 Haddon Ave, Suite 136, Collingswood, NJ 08108-2101 | 2014-02-05 |
| 1740593920 | Sue Yang-novellino | Family Medicine | 504 White Horse Pike, Collingswood, NJ 08107 | 2010-07-16 |
| 1811020654 | Our Lady of Lourdes Medical Center, Inc | Family Medicine | 900 Haddon Ave, Suite 136, Collingswood, NJ 08108-2101 | 2007-03-13 |
| 1609800754 | Michael Holwell | Family Medicine | 600 Atlantic Ave, Collingswood, NJ 08108 | 2006-07-11 |
| 1134158108 | Robert A. Stagliano | Family Medicine | 600 Atlantic Ave, Collingswood, NJ 08108-3042 | 2006-07-02 |
| Find all providers in COLLINGSWOOD | ||||
| City | COLLINGSWOOD |
| Zip Code | 08108 |
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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.