LOURDES MEDICAL ASSOCIATES, PA (NPI# 1487955647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487955647 |
| Entity Type | Organization |
| Organization Name | LOURDES MEDICAL ASSOCIATES, PA |
| Other Organization Name | LOURDES MEDICAL ASSOCIATES NEUROLOGY CONSULTANTS |
| Practice Address |
570 Egg Harbor Rd Suite B5 Sewell NJ 08080-2359 |
| Mailing Address |
500 Grove St Suite 100 Haddon Heights NJ 08035-1761 |
| Practice Telephone | 8567959200 |
| Practice Fax Number | 8563546069 |
| Mailing Telephone | 8567969255 |
| Mailing Fax Number | 8563100592 |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2017-12-04 |
| 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 | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6535704 | 05 |
| Other Name | Type Code |
|---|---|
| Lourdes Medical Associates Neurology Consultants | 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 |
570 EGG HARBOR RD SUITE B5 |
| City | SEWELL |
| State | NJ |
| Zip Code | 08080-2359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569265 | Jeffrey Peter Kovacs | Orthopaedic Surgery | 570 Egg Harbor Rd, Suite C4, Sewell, NJ 08080-2359 | 2005-06-27 |
| 1003281080 | Kennedy Medical Group Practice, P.C. | Surgery | 570 Egg Harbor Rd, Suite C-2, Sewell, NJ 08080-2359 | 2015-12-02 |
| 1336515360 | Megan Andrade | Physical Therapist | 570 Egg Harbor Rd, Suite B6, Sewell, NJ 08080-2359 | 2015-08-13 |
| 1891191201 | Reconstructive Orthopedics, P.a. | Physical Medicine & Rehabilitation | 570 Egg Harbor Rd, Suite C-4, Sewell, NJ 08080-2359 | 2014-11-12 |
| 1992128094 | Amanda O'loughlin | Physical Therapist | 570 Egg Harbor Rd, Suite B6, Sewell, NJ 08080-2359 | 2014-01-24 |
| 1568896579 | Ashley Nelson | Physical Therapist | 570 Egg Harbor Rd, Suite B6, Sewell, NJ 08080-2359 | 2013-08-27 |
| 1609200070 | Ariel Dubois | Physical Therapist | 570 Egg Harbor Rd, Sewell, NJ 08080-2359 | 2013-08-21 |
| 1780925354 | Theresa Marie Campanella | Physical Therapist | 570 Egg Harbor Rd, Suite B6, Sewell, NJ 08080-2359 | 2013-03-07 |
| 1811248057 | Agwanda M Hickman | Nurse Practitioner | 570 Egg Harbor Rd, C2, Sewell, NJ 08080-2359 | 2012-09-27 |
| 1912256421 | Adam P Dezii | Physical Therapist | 570 Egg Harbor Rd, Suite B-6, Sewell, NJ 08080-2359 | 2012-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180301 | Peter Ansong | Pharmacist | 500 Egg Harbor Road, Sewell, NJ 08080 | 2020-09-27 |
| 1477018752 | Shi-iii Washington Township LLC | Alzheimer Center (Dementia Center) | 339 Greentree Road, Washington Township, NJ 08080 | 2019-01-31 |
| 1245741495 | Assoc. for Retarded Citizens. Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Fawn Drive, Sewell, NJ 08080 | 2017-10-16 |
| 1851802029 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 275 Greentree Road, Sewell, NJ 08080 | 2017-10-16 |
| 1598284770 | Bryan Hendricks | Psychologist | 123 Egg Harbor Rd., Suite 302, Sewell, NJ 08080 | 2017-09-19 |
| 1912426339 | Mary Faralli | Speech-Language Pathologist | 24 Upton Way, Sewell, NJ 08080 | 2017-09-18 |
| 1669990578 | Oaks Integrated Care | Clinic/Center | 322 Fishpond Rd, Sewell, NJ 08080 | 2017-08-31 |
| 1972032316 | Nutan K Ravani | Social Worker | 3 Heritage Valley Drive, Sewell, NJ 08080 | 2017-06-08 |
| 1447784038 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 West Warren Avenue, Sewell, NJ 08080 | 2017-04-20 |
| 1326572173 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 363 Ganttown Road, Turnersville, NJ 08080 | 2017-04-19 |
| Find all providers in zip 08080 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548804909 | Stc Pediatrics LLC | Psychiatry & Neurology | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-29 |
| 1326340027 | Partners In Neurology, P.a. | Psychiatry & Neurology | 239 Hurffville Crosskeys Rd, Suite 440, Sewell, NJ 08080-4002 | 2010-12-01 |
| 1467613307 | Robert A. Sammartino, D.o., P.a. | Psychiatry & Neurology | 445 Hurffville Crosskeys Rd, Suite B-8, Sewell, NJ 08080-2337 | 2008-06-23 |
| 1437281771 | Cmc Department of Medicine Group Pa | Psychiatry & Neurology | 1 Plaza Dr, Chapel Heights & Hurfville-cross Keys Roads, Sewell, NJ 08080-9207 | 2007-03-12 |
| 1770665135 | Pravin B. Vasoya | Psychiatry & Neurology | 438 Ganttown Rd, Washington Twp Neurology Asoc Ganttown Plaza Suite B-3, Sewell, NJ 08080-2341 | 2006-10-19 |
| 1336247451 | Robert A Sammartino | Psychiatry & Neurology | 445 Hurffville Crosskeys Rd, Suite B-8, Sewell, NJ 08080-2337 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717719 | Hudson Healthcare Express LLC | Psychiatry & Neurology | 9225 Kennedy Blvd Ste D, North Bergen, NJ 07047-5361 | 2020-07-08 |
| 1225660947 | Harmony Direct Psychiatric Clinic | Psychiatry & Neurology | 332 Cranbury Rd, East Brunswick, NJ 08816-3074 | 2020-02-11 |
| 1356902134 | Balance Dizziness Center Inc. | Psychiatry & Neurology | 17 Brinkerhoff Terrace, Palisades Park, NJ 07650 | 2019-06-24 |
| 1821555376 | Executive Center for Psychological Medicine | Psychiatry & Neurology | 701 White Horse Rd Ste C-101, Voorhees, NJ 08043-2494 | 2019-02-20 |
| 1871058446 | Midatlantic Neuromonitoring Limited | Psychiatry & Neurology | 125 Half Mile Rd Ste 200, Red Bank, NJ 07701-6749 | 2019-02-07 |
| 1083120570 | Ah Medical PC | Psychiatry & Neurology | 3600 Bergenline Ave 2nd Floor, Ste 8, Union City, NJ 07087 | 2017-12-19 |
| 1225551146 | Bindi Akshay Patel | Psychiatry & Neurology | 125 Paterson St Ste 6100, New Brunswick, NJ 08901-1962 | 2017-07-23 |
| 1841647823 | Joshua Daniel | Psychiatry & Neurology | 58 W Aspen Way, Aberdeen, NJ 07747-1906 | 2016-05-19 |
| 1487059978 | Neurological Institute of Northern New Jersey | Psychiatry & Neurology | 3 Wedgewood Dr, West Orange, NJ 07052-2719 | 2014-10-27 |
| 1083032304 | Sepideh Akbaripanahi | Psychiatry & Neurology | 25 Rockwood Pl Ste 110, Englewood, NJ 07631 | 2014-04-03 |
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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.