OUR LADY OF LOURDES MEDICAL CENTER, INC (NPI# 1811020654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811020654 |
| Entity Type | Organization |
| Organization Name | OUR LADY OF LOURDES MEDICAL CENTER, INC |
| Practice Address |
900 Haddon Ave Suite 136 Collingswood NJ 08108-2101 |
| Practice Telephone | 8568693126 |
| Practice Fax Number | 8568332050 |
| Mailing Telephone | 8568693126 |
| Mailing Fax Number | 8568332050 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2018-01-04 |
| Authorized Official Name | MS. KATHRYN L FRIEDMAN (DIRECTOR, INTEGRATIVE HEALTH CARE) |
| Authorized Official Telephone | 8568332052 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25MA04483700 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | STATE MED LICENSE # | 25MA04483700 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992798995 | Our Lady of Lourdes Medical Center, Inc | Clinic/Center | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2005-08-24 |
| Street Address |
900 HADDON AVE SUITE 136 |
| City | COLLINGSWOOD |
| State | NJ |
| Zip Code | 08108-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376578237 | Ronald P. Ciccone | Family Medicine | 900 Haddon Ave, Suite 136, Collingswood, NJ 08108-2101 | 2006-07-11 |
| 1912419722 | Multi-therapy Services, Incorporated | Respite Care | 900 Haddon Ave, Collingswood, NJ 08108-2101 | 2017-11-02 |
| 1336686872 | Multi-therapy Services Inc. | Case Management | 900 Haddon Ave, Ste 233, Collingswood, NJ 08108-2101 | 2017-01-23 |
| 1174947659 | Ronald P. Ciccone, M.d. P.C. | Family Medicine | 900 Haddon Ave, Suite 136, Collingswood, NJ 08108-2101 | 2014-02-05 |
| 1457605321 | Sheri Lee Krauss | Acupuncturist | 900 Haddon Ave, Suite 136, Collingswood, NJ 08108-2101 | 2012-10-31 |
| 1407127319 | Frank J Murrin Jr. | Technician/Technologist | 900 Haddon Ave, Suite 102, Collingswood, NJ 08108-2101 | 2012-01-24 |
| 1154505782 | Richard S. Kresloff Md Pa | Durable Medical Equipment & Medical Supplies | 900 Haddon Ave, Ste 102, Collingswood, NJ 08108-2101 | 2007-12-18 |
| 1629286919 | Children's Opportunity Center | Social Worker | 900 Haddon Ave, Suite 234, Collingswood, NJ 08108-2101 | 2007-05-18 |
| 1427110493 | Richard S Kresloff,md, Pa | Ophthalmology | 900 Haddon Ave, Suite 102, Collingswood, NJ 08108-2101 | 2006-12-15 |
| 1316032287 | Arthur Meyer Goldstein | Ophthalmology | 900 Haddon Ave, Suite 102, Collingswood, NJ 08108-2101 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629569942 | Breathe Life Physical Therapy & Wellness | Physical Therapist | 915 Haddon Ave, Collingswood, NJ 08108 | 2018-05-22 |
| 1144718545 | Genesis Counseling Center, Inc | Counselor | 566 Hadden Ave, Collingswood, NJ 08108 | 2018-05-01 |
| 1417486069 | Village Wrap, Inc | Clinic/Center | 316 Haddon Avenue, Collingsgwood, NJ 08108 | 2017-06-07 |
| 1518493915 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Stokes Ave, Collingswood, NJ 08108 | 2017-05-04 |
| 1932659778 | Virtua Medical Group, Pa | Clinic/Center | 602 W Cuthbert Blvd Unit 26, Haddon Township, NJ 08108 | 2016-10-05 |
| 1467808543 | Kevin M Lenny | Social Worker | 215 Highland Avenue Suite C, Haddon Township, NJ 08108 | 2016-05-09 |
| 1477933083 | Tam Thien Tran | Pharmacist | 7 Mac Arthur Blvd #n0515, Haddon Township, NJ 08108 | 2015-06-09 |
| 1619364536 | United Methodist Homes of New Jersey | Assisted Living Facility | 460 Haddon Avenue, Collingswood, NJ 08108 | 2015-04-17 |
| 1326465808 | Jacqueline Yvonne Thomas | Counselor | 566 Haddon Ave., Genesis Counseling Services, Collingswood, NJ 08108 | 2014-03-24 |
| 1790118941 | Jessica Ann Charlton | Counselor | 900 Haddon Ave Ste 336, Collingswood, NJ 08108 | 2013-08-12 |
| Find all providers in zip 08108 | ||||
| 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 |
|---|---|---|---|---|
| 1629096821 | Robert Jerald Winn | Family Medicine | 575 Haddon Ave Unit 1, Collingswood, NJ 08108-1445 | 2006-07-17 |
| 1376578237 | Ronald P. Ciccone | Family Medicine | 900 Haddon Ave, Suite 136, Collingswood, NJ 08108-2101 | 2006-07-11 |
| 1255369369 | Lance William Neveling | Family Medicine | 600 Atlantic Ave, Collingswood, NJ 08108-3042 | 2006-06-29 |
| 1710949904 | Jason N Moraleda | Family Medicine | 275 Haddon Ave, Collingswood Medical Center, Collingswood, NJ 08108-1121 | 2006-04-04 |
| 1699246827 | Real Wellness LLC | Family Medicine | 575 Haddon Ave Unit 1, Collingswood, NJ 08108-1445 | 2018-12-16 |
| 1134504350 | Lourdes Medical Associates, Pa | Family Medicine | 275 Haddon Ave, Collingswood, NJ 08108-1121 | 2015-07-29 |
| 1174947659 | Ronald P. Ciccone, M.d. P.C. | Family Medicine | 900 Haddon Ave, Suite 136, Collingswood, NJ 08108-2101 | 2014-02-05 |
| 1740593920 | Sue Yang-novellino | Family Medicine | 504 White Horse Pike, Collingswood, NJ 08107 | 2010-07-16 |
| 1609800754 | Michael Holwell | Family Medicine | 600 Atlantic Ave, Collingswood, NJ 08108 | 2006-07-11 |
| 1134158108 | Robert A. Stagliano | Family Medicine | 600 Atlantic Ave, Collingswood, NJ 08108-3042 | 2006-07-02 |
| Find all providers in COLLINGSWOOD | ||||
| City | COLLINGSWOOD |
| Zip Code | 08108 |
Please comment or provide details below to improve the information on OUR LADY OF LOURDES MEDICAL 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.