DR. LEE DELACY (NPI# 1174576359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174576359 |
| Entity Type | Individual |
| Full Name | DR. LEE DELACY |
| Credential | MD |
| Practice Address |
693 Main St Bldg A Ste 2 Lumberton NJ 08048 |
| Mailing Address |
Po Box 70 693 Main St Bldg A Ste 2 Lumberton NJ 08048 |
| Practice Telephone | 6092651700 |
| Practice Fax Number | 6092658146 |
| Mailing Telephone | 6092651700 |
| Mailing Fax Number | 6092658146 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
25MA04974500 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AETNA | 3525351 | 01 |
| NJ | 2345803 | 05 | |
| NJ | MEDICARE RR | P00141371 | 01 |
| Street Address |
693 MAIN ST BLDG A STE 2 |
| City | LUMBERTON |
| State | NJ |
| Zip Code | 08048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609840602 | Arun Kachroo | Psychiatry & Neurology | 693 Main St, Bldg D, Lumberton, NJ 08048-5043 | 2006-02-15 |
| 1144697442 | Latoya Gaines | Counselor | 693 Main St, Lumberton, NJ 08048-5043 | 2015-08-21 |
| 1104203090 | Dawn Moleins | Nurse Practitioner | 693 Main St, Lumberton, NJ 08048-5043 | 2015-04-30 |
| 1487068805 | Tiffany Palmer | Case Manager/Care Coordinator | 693 Main St, Lumberton, NJ 08048-5043 | 2014-06-13 |
| 1578729943 | Tammy A Rockhill | Nurse Practitioner | 693 Main St, Box 367, Lumberton, NJ 08048-5043 | 2008-08-05 |
| 1245499268 | Susan Amy Bergdoll-faykes | Registered Nurse | 693 Main St, Lumberton, NJ 08048-5043 | 2008-06-05 |
| 1750591087 | Mayank Mathur | Psychiatry & Neurology | 693 Main St, Amherst Commons Building D, Lumberton, NJ 08048-5043 | 2007-05-23 |
| 1295954865 | Ted M Rosner Dmd, Pa | Dentist | 693 Main St, Lumberton, NJ 08048-5043 | 2007-04-24 |
| 1609917525 | Gastroenterology Consultants of South Jersey PC | Specialist | 693 Main St, Building A Suite 2, Lumberton, NJ 08048-5043 | 2007-02-12 |
| 1679688972 | Neurology Consultants of Burlington County, Pa | Specialist | 693 Main St, Building D, Lumberton, NJ 08048-5043 | 2006-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790285450 | Bright Smiles of Burlington County | Dentist | 693 Main Street, Building B Suite 1, Lumberton, NJ 08048 | 2018-02-19 |
| 1598139230 | Donise Paullette Dumpson | Nurse Anesthetist, Certified Registered | 140 Mt. Holly Bypass, Lumberton, NJ 08048 | 2015-11-18 |
| 1578962486 | Anne Greenwood | Counselor | 79 Chestnut Street, Lumberton, NJ 08048 | 2014-08-15 |
| 1780008136 | Alexander Park | Counselor | 770 Woodland Road, Mt. Holly, NJ 08048 | 2014-02-05 |
| 1396039772 | Linda Jean Wiles | Social Worker | 305 Dove Court, Lumberton, NJ 08048 | 2011-06-03 |
| 1073743365 | Advocating Counseling Enrichment and Development LLC | Social Worker | 41 Bridge Rd, Lumberton, NJ 08048 | 2009-07-21 |
| 1801940721 | Prathima Neruganti | Dentist | 1636 Route 38 Ste 21, Lumberton Plaza, Lumberton, NJ 08048 | 2007-01-22 |
| 1932288743 | Dental Health Associates Pa | Dentist | 1636 21 Rt 38, Lumberton Plaza, Lumberton, NJ 08048 | 2006-11-03 |
| 1093898769 | Patricia R Lyons | Dentist | 1636 21 Rte 38 Lumberton Plaza, Dental Health Associates Pa, Lumberton, NJ 08048 | 2006-10-24 |
| 1295828598 | George M Budd | Dentist | 737 Main Street, George M Budd Dds, Lumberton, NJ 08048 | 2006-10-02 |
| Find all providers in zip 08048 | ||||
| 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 |
|---|---|---|---|---|
| 1568414720 | Kwadwo Agyei-gyamfi | Internal Medicine | 4348 Fayetteville Rd, Lumberton, NC 28358-2677 | 2006-05-16 |
| 1831196450 | Gregory Locklear | Internal Medicine | 1011 Woodridge Dr, Lumberton, NC 28358-3328 | 2005-06-29 |
| 1801280672 | Southeastern Health Physician Services | Internal Medicine | 815 Oakridge Blvd, Lumberton, NC 28358-2330 | 2015-03-19 |
| 1255725024 | Southeastern Health Physician Services | Internal Medicine | 725 Oakridge Blvd Ste C1, Lumberton, NC 28358-2351 | 2015-03-19 |
| 1255659868 | Mayank Lahoti | Internal Medicine | 693 Main St Ste 2, Lumberton, NJ 08048-5043 | 2010-05-06 |
| 1750334538 | Maurice David Leonard | Internal Medicine | 693 Main St, Bldg A Ste 2, Lumberton, NJ 08048 | 2006-05-19 |
| 1992759757 | William Herman Taub | Internal Medicine | 693 Main St, Bldg A Ste 2, Lumberton, NJ 08048 | 2006-05-19 |
| 1801840665 | Jeffrey Joseph Kutscher | Internal Medicine | 693 Main St, Bldg A Ste 2, Lumberton, NJ 08048 | 2006-05-19 |
| 1427001601 | Hugh Martin Lasch | Internal Medicine | 693 Main St, Bldg A Suite 2, Lumberton, NJ 08048 | 2006-05-18 |
| 1902859184 | Nidhir Ras Sheth | Internal Medicine | 693 Main St, Bldg A Ste 2, Lumberton, NJ 08048 | 2006-05-18 |
| Find all providers in LUMBERTON | ||||
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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.