DR. GORDON LEE LERCH (NPI# 1790885275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790885275 |
| Entity Type | Individual |
| Full Name | DR. GORDON LEE LERCH |
| Credential | DO |
| Practice Address |
63 N Lakeview Dr Suite 202 Gibbsboro NJ 08026-1026 |
| Mailing Address |
402 Lippincott Dr Marlton NJ 08053-0598 |
| Practice Telephone | 8564356000 |
| Practice Fax Number | 8567821667 |
| Mailing Telephone | 8567823300 |
| Mailing Fax Number | 8565048029 |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2014-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25MB03948400 | NJ | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 25MB03948400 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3670201 | 05 |
| Street Address |
63 N LAKEVIEW DR SUITE 202 |
| City | GIBBSBORO |
| State | NJ |
| Zip Code | 08026-1026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336179407 | Rosemarie C Villamayor | Family Medicine | 63 N Lakeview Dr, Suite 201, Gibbsboro, NJ 08026-1026 | 2006-07-04 |
| 1093115891 | Jency Abraham | Dentist | 63 N Lakeview Dr, Gibbsboro, NJ 08026-1026 | 2014-08-28 |
| 1457783607 | Risha James Hertz | Nurse Practitioner | 63 N Lakeview Dr, Bldg. B, Ste. 201, Gibbsboro, NJ 08026-1026 | 2013-07-30 |
| 1992081392 | Kimberly Jeanne Deery | Pediatrics | 63 N Lakeview Dr, Suite 202, Gibbsboro, NJ 08026-1026 | 2011-10-30 |
| 1265729552 | Advocare, LLC | Pediatrics | 63 N Lakeview Dr, Suite 202, Gibbsboro, NJ 08026-1026 | 2011-07-07 |
| 1760794796 | Diana Lee | Pediatrics | 63 N Lakeview Dr, Suite 202, Gibbsboro, NJ 08026-1026 | 2010-07-07 |
| 1336471226 | Christine Michelle Kember | Nurse Practitioner | 63 N Lakeview Dr, Suite 202, Gibbsboro, NJ 08026-1026 | 2010-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669647350 | Karen A Atkin | Social Worker | 6 E. Clementon Road, Suite F1, Gibbsboro, NJ 08026 | 2008-04-24 |
| 1750576294 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 74 South Lakeview Drive, Gibbsboro, NJ 08026 | 2007-09-07 |
| 1225239262 | Midatlantic Diagnostic Services PC | Physiological Laboratory | 55 Pine Rd, Gibbsboro, NJ 08026 | 2007-05-29 |
| 1518045525 | Rafael Lardizabal Valencia | Pediatrics | 146 Lakeview Dr, Suite 102, Gibbsboro, NJ 08026 | 2006-11-01 |
| 1619984580 | The Ent Specialty Center, PC | Otolaryngology | The Ent Specialty, PC 88 South Lakeview Drive, Building 1, Gibbsboro, NJ 08026 | 2006-08-02 |
| 1194789313 | Anthony F Napoli Jr. | Pediatrics | 13 Lakeview Drive, Gibbsboro, NJ 08026 | 2006-04-14 |
| 1336414226 | Chop Clinical Associates, PC | Pediatrics | 13 Lakeview Drive, Gibbsboro, NJ 08026 | 2012-03-12 |
| 1053443150 | Eric Joseph Forte | Dentist | 59 Lakeview Dr N, Gibbsboro, NJ 08026-1002 | 2007-03-12 |
| 1104948546 | Robert S. Gelbert, Dds, PC | Dentist | 59 Lakeview Dr N, Suite 2, Gibbsboro, NJ 08026-1002 | 2007-04-05 |
| 1164041778 | Optimistic Healthcare Services | Nurse Practitioner | 61 N Lakeview Dr Ste 4, Gibbsboro, NJ 08026-1007 | 2020-04-14 |
| Find all providers in zip 08026 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356642755 | Timothy X Paxton | Family Medicine | 10 Foster Ave, Suite 3a, Gibbsboro, NJ 08026-1162 | 2010-11-16 |
| 1336179407 | Rosemarie C Villamayor | Family Medicine | 63 N Lakeview Dr, Suite 201, Gibbsboro, NJ 08026-1026 | 2006-07-04 |
| 1932139094 | Jeffrey T Tokazewski | Family Medicine | 63 N. Lakeview Dr, Bldg B, Ste 201, Gibbsboro, NJ 08026-1026 | 2006-07-04 |
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| 1023615168 | Well Health Medical Practice | Family Medicine | 676 Amboy Ave Ste 4, Woodbridge, NJ 07095-3144 | 2020-10-01 |
| 1538776380 | Reusik | Family Medicine | 302 Brookmead Dr, Cherry Hill, NJ 08034-2729 | 2020-09-25 |
| 1265048359 | Seungyeon Lee | Family Medicine | 4609 Quail Ridge Dr, Plainsboro, NJ 08536-4232 | 2020-09-23 |
| 1558976670 | Nyc Regenerative Medicine Inc. | Family Medicine | 315 Route 34 Ste 103, Colts Neck, NJ 07722-2444 | 2020-09-15 |
| 1831700715 | Tree of Life Integrative Family Medicine | Family Medicine | 1200 Little Gloucester Rd Apt 1315, Clementon, NJ 08021-5874 | 2020-08-13 |
| 1972127629 | Alysha Marengo | Family Medicine | 326 Pine St, Pompton Lakes, NJ 07442-1617 | 2020-05-28 |
| 1790308583 | Iz Medical LLC | Family Medicine | 250 Moonachie Rd, Moonachie, NJ 07074-1378 | 2020-05-27 |
| 1629691241 | Wayne R Schneider,m.d.,llc | Family Medicine | 56 Tuckahoe Rd, Marmora, NJ 08223-1206 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
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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.