LOTUS INTEGRATED LONGEVITY ANTI-AGING CENTER, INC. (NPI# 1497186167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497186167 |
| Entity Type | Organization |
| Organization Name | LOTUS INTEGRATED LONGEVITY ANTI-AGING CENTER, INC. |
| Other Organization Name | L.I.L.A.C. |
| Practice Address |
2301 E Evesham Rd Voorhees NJ 08043-4501 |
| Practice Telephone | 8567724971 |
| Practice Fax Number | 8567721140 |
| Mailing Telephone | 8567724971 |
| Mailing Fax Number | 8567721140 |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2013-12-06 |
| Authorized Official Name | DR. EPIFANIA CRUZ (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8567724971 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 25MA05996900 | NJ | Other Service Providers |
| Other Name | Type Code |
|---|---|
| L.I.L.A.C. | Doing Business As Name - Organization |
| Street Address |
2301 E EVESHAM RD |
| City | VOORHEES |
| State | NJ |
| Zip Code | 08043-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073515763 | Ofelia Ramoso Mangubat | Pediatrics | 2301 E Evesham Rd, The Pavilions of Voorhees, Ste 405, Voorhees, NJ 08043-4501 | 2005-08-11 |
| 1356949499 | Flannery Farrell | Advanced Practice Midwife | 2301 E Evesham Rd, Voorhees, NJ 08043-4501 | 2020-10-12 |
| 1215554043 | Renata Siruckova | Advanced Practice Midwife | 2301 E Evesham Rd, Voorhees, NJ 08043-4501 | 2020-06-27 |
| 1124658943 | David Zweiback Do | Internal Medicine | 2301 E Evesham Rd, Voorhees, NJ 08043-4501 | 2020-01-21 |
| 1407393770 | Regional Women's Health Group, LLC | Obstetrics & Gynecology | 2301 E Evesham Rd, 305, Voorhees, NJ 08043-4501 | 2017-01-25 |
| 1144673609 | Amita Talati Md LLC | Psychiatry & Neurology | 2301 E Evesham Rd, Voorhees, NJ 08043-4501 | 2016-07-20 |
| 1003264326 | Optimum Oral Surgery Group LLC | Clinic/Center | 2301 E Evesham Rd, Suite 211, Voorhees, NJ 08043-4501 | 2016-05-26 |
| 1689033789 | Salveo LLC | Obstetrics & Gynecology | 2301 E Evesham Rd, Voorhees, NJ 08043-4501 | 2016-02-17 |
| 1366845547 | Elisabeth Horowitz M.d. LLC | Internal Medicine | 2301 E Evesham Rd, Suite 402, Voorhees, NJ 08043-4501 | 2014-10-02 |
| 1205238276 | Susan Delancy | Physician Assistant | 2301 E Evesham Rd, Suite 505, Voorhees, NJ 08043-4501 | 2014-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186308 | Priya P Amin | Chiropractor | 1307 White Horse Road, Building B Suite 200, Voorhees, NJ 08043 | 2020-08-24 |
| 1184233207 | Creek Healthcare Services LLC | Community/Behavioral Health | 39 William Feather Drive, Voorhees Township, NJ 08043 | 2020-07-24 |
| 1689215345 | Julia Amariti | Dietitian, Registered | 2309 E Evesham Rd Ste 101b, Voorhees, NJ 08043 | 2019-10-03 |
| 1457821787 | Hcp Voorhees Township Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1301 Laurel Oak Road, Voorhees Township, NJ 08043 | 2018-11-29 |
| 1003386665 | Durand, Inc. | In Home Supportive Care | 107 Camden Avenue, Voorhees, NJ 08043 | 2018-11-27 |
| 1285103663 | Samaritan Healthcare & Hospice, Inc. | Hospice, Inpatient | 265 Route 73 South, Voorhees, NJ 08043 | 2018-11-15 |
| 1184192734 | Michelle Ko | Physician Assistant | 900 Centennial Blvd Ste K, Voorhees, NJ 08043 | 2018-11-12 |
| 1346716107 | Ashlee Barton | Counselor | 1103 Sheppard Rd, Voorhees Township, NJ 08043 | 2018-10-19 |
| 1033691472 | Carolyn A Gribbin | Social Worker | 3033 5th Street, Voorhees, NJ 08043 | 2018-09-01 |
| 1164902193 | Paul Pierson | Physical Therapist | 1010 Haddonfield Berlin Rd Ste 401, Voorhees, NJ 08043 | 2018-08-20 |
| Find all providers in zip 08043 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417367087 | Kelly Newhart | Specialist | 113 New Jersey 73, Voorhees, NJ 08043 | 2014-05-05 |
| 1144250200 | Veena S Gandhi | Specialist | 314 S Burnt Mill Rd, Voorhees, NJ 08043-1107 | 2006-07-04 |
| 1760447841 | Tusharsindhu Chhatrasinh Chauhan | Specialist | 1000 South Burnt Mill Road, Voorhees, NJ 08043 | 2006-04-20 |
| 1881692895 | Robert B Belafsky | Specialist | 200 Bowman Dr, Suite D-285, Voorhees, NJ 08043-9623 | 2005-07-13 |
| 1407859259 | Richard Gordon | Specialist | 705 White Horse Rd, Ste D105, Voorhees, NJ 08043-2468 | 2005-05-24 |
| 1407262132 | Shana Shah | Specialist | 200 Bowman Drive, Suite D285, Voorhees, NJ 08043 | 2014-07-02 |
| 1518236447 | Midatlantic Personal Injury Pain Management | Specialist | 2301 E Evesham Rd, Suite 305, Voorhees, NJ 08043-4501 | 2011-12-21 |
| 1134437379 | Victor Luis Lopez | Specialist | 805 Cooper Rd, Suite 6, Voorhees, NJ 08043-3814 | 2010-09-22 |
| 1699927079 | Advanced Pulmonary and Critical Care Medicine Pa | Specialist | 120 Carnie Blvd, Suite 3, Voorhees, NJ 08043-4520 | 2008-10-16 |
| 1770759813 | Sleepcare Centers, Inc | Specialist | 2301 E Evesham Rd, Voorhees, NJ 08043-4501 | 2008-05-07 |
| Find all providers in VOORHEES | ||||
Please comment or provide details below to improve the information on LOTUS INTEGRATED LONGEVITY ANTI-AGING CENTER, INC..
| 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.