BRANCH MEDICAL CLINIC LAKEHURST (NPI# 1952509812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952509812 |
| Entity Type | Organization |
| Organization Name | BRANCH MEDICAL CLINIC LAKEHURST |
| Practice Address |
Bldg 39 Landsdowne Road Lakehurst NJ 08733-5006 |
| Practice Telephone | 7323237099 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2017-12-19 |
| Authorized Official Name | MR. WILLIAM MICHAEL CONDON (NAVY MEDICINE UBO PROGRAM MANAGER) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL HEALTH CLINIC ANNAPOLIS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities |
| Street Address |
BLDG 39 LANDSDOWNE ROAD |
| City | LAKEHURST |
| State | NJ |
| Zip Code | 08733-5006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710287198 | Lakehurst | Military/U.S. Coast Guard Pharmacy | 39 Lansdown Road Bldg 39, Naval Air Engineering Station, Lakehurst, NJ 08733 | 2010-11-01 |
| 1033377411 | Joseph Stanley Sprafka Jr. | Military Health Care Provider | Bldg 39 Lansdowne Rd, Naval Branch Medical Clinic, Lakehurst, NJ 08733 | 2008-06-02 |
| 1962690982 | Gary Stephen Mihalko Jr. | Military Health Care Provider | 39 Lansdowne Rd, Naval Branch Medical Clinic, Lakehurst, NJ 08733 | 2007-10-04 |
| 1144426867 | Richard James Donahue IIi | Specialist/Technologist, Other | Bldg. 39 Lansdowne Road Branch Health Clinic, Naval Air Engineering Station, Lakehurst, NJ 08733 | 2007-06-21 |
| 1346349792 | Naval Health Clinic Annapolis | Military/U.S. Coast Guard Pharmacy | Bmc Bldg 39, Naval Engineering Station, Lakehurst, NJ 08733 | 2006-09-22 |
| 1245341320 | Brian S Klohn Dmd Pa | Dentist | 19 Union Ave, Lakehurst, NJ 08733 | 2006-08-31 |
| 1881621373 | Frederick Lehman | Internal Medicine | 307 Route 70, Suite 1a, Lakehurst, NJ 08733 | 2006-06-28 |
| 1780654574 | Russell Douglas Francek | Physician Assistant | 39 Lansdownerd, Lakehurst, NJ 08733 | 2006-01-24 |
| 1013902915 | Robert Charles Raffetto | Dentist | Dental Dept, Bldg 39, Naval Health Care Facility, Naval Air Engineering Station, Lakehurst, NJ 08733 | 2005-09-16 |
| 1275168296 | Julia K Guerrero | Physical Therapist | 685 Route 70, Units 4b & 6b, Lakehurst, NJ 08733 | 2020-03-10 |
| Find all providers in zip 08733 | ||||
| Taxonomy Code | 261QM1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military/U.S. Coast Guard Outpatient |
| The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962660340 | United States Coast Guard, Air Station Atlantic City | Clinic/Center | Faa Tech Center Bldg 350, Uscg Medical Dept, Pomona, NJ 08405 | 2008-06-02 |
| 1275747149 | Keller Army Community Hospital | Clinic/Center | 5631 Baltimore St, Fort Dix, NJ 08640-5440 | 2007-05-10 |
| 1912006685 | Keller Army Community Hospital | Clinic/Center | Bldg. 1075 Stephenson Ave., Ft. Monmouth, NJ 07703 | 2006-09-21 |
| 1528245271 | Uscg Clinic Cape May | Clinic/Center | 1 Munro Ave, Health Services Division, Cape May, NJ 08204-5000 | 2008-01-24 |
| 1477750990 | Branch Medical Clinic Earle | Clinic/Center | 201 State Route 34 S, Colts Neck, NJ 07722-1902 | 2007-06-28 |
| 1124223235 | Keller Army Community Hospital | Clinic/Center | 5660 Doughboy Loop, Fort Dix, NJ 08640 | 2007-06-19 |
| 1205031770 | Keller Army Community Hospital | Clinic/Center | 1075 Stephenson Ave, Usadc, Fort Monmouth, NJ 07703-1518 | 2007-06-15 |
| 1972667228 | Uscg Samuel J Call Health Services | Clinic/Center | 1 Munro Ave, Cape May, NJ 08204-5000 | 2006-12-21 |
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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.