OUR LADY OF LOURDES (NPI# 1134560824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134560824 |
| Entity Type | Organization |
| Organization Name | OUR LADY OF LOURDES |
| Practice Address |
1600 Haddon Ave Camden NJ 08103-3101 |
| Practice Telephone | 8567573500 |
| Mailing Telephone | 8567573500 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |
| Authorized Official Name | MS. JENNIFER M LANCE (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 8569126397 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 25MP00311500 | NJ | Hospitals |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | OUR LADY OF LOURDES APARTMENTS LLC | 50 Jericho Quadrangle, Suite 118, Jericho, Ny 11753 |
| New York State Corporations | OUR LADY OF LOURDES BENEVOLENT ASSOCIATION INC. | 18 Hallock Drive, Washingtonville, Ny 10992 |
| Oregon Corporations, Companies and Business Names | OUR LADY OF LOURDES CATHOLIC CHURCH, SCIO, OREGON | 39043 Jordan Rd, Scio, OR 97374 |
| Iowa Business Entities | OUR LADY OF LOURDES CEMETERY ASSOCIATION, LOURDES, IOWA. | 203 Seventh Street, Elma, IA 50628 |
| System for Award Management (SAM) Entities | OUR LADY OF LOURDES CHURCH | 2124 S 32nd Ave, Omaha, NE 68105-3110 |
| Iowa Business Entities | OUR LADY OF LOURDES CHURCH, LOURDES, IOWA | 203 7th St., Elma, IA 50628 |
| System for Award Management (SAM) Entities | OUR LADY OF LOURDES HEALTH FOUNDATION INC | 1600 Haddon Ave, Camden, NJ 08103-3101 |
| Iowa Business Entities | OUR LADY OF LOURDES HOME, LLC. | 12026 Ridgemont Dr, Urbandale, IA 50323 |
| Washington State Corporations | OUR LADY OF LOURDES HOSPITAL AT PASCO | 520 N 4th Ave, Pasco, WA 99301 |
| New York State Corporations | OUR LADY OF LOURDES HOUSING DEVELOPMENT FUND CORPORATION | 217 Wyckoff Avenue, Brooklyn, Ny 11237 |
| Street Address |
1600 HADDON AVE |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851399455 | Christina M Lamonica | Specialist | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2005-07-08 |
| 1992306781 | Eric Rayburn | Nurse Practitioner | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2020-11-06 |
| 1508476177 | Georgeanne V Stilley | Clinical Nurse Specialist | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2020-08-07 |
| 1871125013 | Vanessa Lynn Klemas | Specialist/Technologist, Other | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2020-02-05 |
| 1457991903 | Idan Waksman | Physician Assistant | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2020-01-13 |
| 1154964716 | Jaclyn Palmisano | Nurse Practitioner | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2019-10-25 |
| 1538702642 | David Shaw | Anesthesiology | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2019-10-21 |
| 1215588462 | Victoria Clark | Advanced Practice Midwife | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2019-09-27 |
| 1215401120 | Lindsay Szczerbinski | Nurse Anesthetist, Certified Registered | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2019-01-14 |
| 1366919789 | Kassandre King | Nurse Anesthetist, Certified Registered | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2018-10-24 |
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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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| 1760927206 | Cooper Health System | General Acute Care Hospital | 3 Cooper Plaza., Suite 300, Camden, NJ 08103 | 2016-12-19 |
| 1427001205 | University Hospital - Camden Ems Division | General Acute Care Hospital | 1000 S 10th St, Camden, NJ 08103-2601 | 2006-05-19 |
| 1477520526 | J. Paul Jones Hospital | General Acute Care Hospital | 317 Mcwilliams Ave, Camden, AL 36726-1610 | 2006-03-07 |
| 1235134024 | Virtua Our Lady of Lourdes Hospital, Inc. | General Acute Care Hospital | 1600 Haddon Avenue, Camden, NJ 08103-3101 | 2005-06-17 |
| 1093187163 | Cooper University Hospital | General Acute Care Hospital | 3 Cooper Plz, Suite 301, Camden, NJ 08103-1438 | 2015-10-28 |
| 1336527225 | Lisa Cosgrove | General Acute Care Hospital | 1 Cooper Plz, Camden, NJ 08103-1461 | 2015-05-11 |
| 1285021600 | Cooper Health System | General Acute Care Hospital | 3 Cooper Plz, Suite 513, Camden, NJ 08103-1438 | 2015-04-23 |
| 1699181206 | Namrata Baxi | General Acute Care Hospital | 1 Cooper Plz, Camden, NJ 08103-1461 | 2014-07-02 |
| 1801232160 | Cooper University Health Care | General Acute Care Hospital | 3 Cooper Plz, Suite 403, Camden, NJ 08103-1438 | 2013-05-14 |
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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.