LOURDES MEDICAL ASSOCIATES, PA (NPI# 1477723930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477723930 |
| Entity Type | Organization |
| Organization Name | LOURDES MEDICAL ASSOCIATES, PA |
| Other Organization Name | LMA OSBORN SURGICAL CLINIC |
| Practice Address |
1601 Haddon Ave Camden NJ 08103-3109 |
| Mailing Address |
500 Grove St Suite 100 Haddon Heights NJ 08035-1702 |
| Practice Telephone | 8567573799 |
| Practice Fax Number | 8569682556 |
| Mailing Telephone | 8567969200 |
| Mailing Fax Number | 8563105603 |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | MS. LINDA ROSENSON (CFO) |
| 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 | 208600000X | Surgery | 25MA07552700 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6535704 | 05 |
| Other Name | Type Code |
|---|---|
| LMA Osborn Surgical Clinic | 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 |
| Find all providers in the same location | ||||
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801162268 | Jennifer Margaret Burg | Surgery | Cooper Surgical Associates, Sheridan Pavilion, 3 Cooper, Suite 411, Camden, NJ 08103 | 2012-03-29 |
| 1972747517 | Michael Trayser Dunaway | Surgery | 1413 Mill St, Camden, SC 29020-2934 | 2009-04-27 |
| 1831345461 | David Daniel Shersher | Surgery | 3 Cooper Plz Rm 221, Camden, NJ 08103-1438 | 2008-08-14 |
| 1720020647 | Mark A Shina | Surgery | 415 Hospital Dr Ste 3, Camden, AR 71701 | 2006-06-12 |
| 1326099912 | Edward A Gill | Surgery | 1102 Roberts St, Camden, SC 29020-3734 | 2006-05-16 |
| 1962486761 | Prakash Vaidy | Surgery | 379 Walmart Dr, Camden, DE 19934-1365 | 2005-12-05 |
| 1174511091 | Diane Gillum | Surgery | 2 Cooper Plaza, 400 Haddon Ave, Camden, NJ 08103-1461 | 2005-10-13 |
| 1215479159 | Ouachita Physician Services, LLC | Surgery | 415 Hospital Dr, Ste. 3, Camden, AR 71701-4615 | 2016-11-09 |
| 1366998619 | Alireza Mofid | Surgery | 1 Cooper Plz, Camden, NJ 08103 | 2016-08-28 |
| 1437549482 | William Matthew Harris | Surgery | 1600 Haddon Ave, Camden, NJ 08103 | 2015-01-29 |
| Find all providers in CAMDEN | ||||
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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.