Individual provider Active NPI

Justin Joseph Lo Re, D.O.

  • Neurology Physician
  • Bridgewater, NJ
National Provider Identifier
1073052999
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MB10884700 Issued in NJ
Practice address
1125 Route 22 Ste 155
Bridgewater, NJ 08807-2939
Phone
(732) 667-1123
Fax
(732) 560-3206
NPI assigned
Feb 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25MB10884700 NJ Primary

Addresses

Primary practice location

1125 Route 22 Ste 155
Bridgewater, NJ 08807-2939

Mailing address

PO Box 416457
Boston, MA 02241-1928
Phone (844) 362-1735

Other practice location 1

140 Central Ave Ste 400
Clark, NJ 07066-1121
Phone (908) 522-2829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221219002325 NJ Practitioner - Neurology 8527437243 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Rowan University School of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

1125 US Hwy 22
Suite 170
Bridgewater, NJ 08807-2939
Phone (908) 947-7011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB10884700NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrenceville Neurology Center, P.a. CurrentSince Sep 8, 2022 Accepting new patients
Practice Associates Medical Group CurrentSince Jul 31, 2023 Accepting new patients
Ahs Hospital Corp PastSince Jul 31, 2023 Accepting new patients

Locations

1125 US Highway 22
Ste 155
Bridgewater, NJ 08807
Phone (732) 667-1123

1125 US Highway 22
Ste 170
Bridgewater, NJ 08807
Phone (908) 947-7010

140 Central Ave
Ste 400
Clark, NJ 07066
Phone (908) 522-2829

3120 Princeton Pike
Fl 2
Lawrenceville, NJ 08648
Phone (609) 895-0290

3120 Princeton Pike
Lawrenceville, NJ 08648
Phone (570) 558-6858

2 Centre Dr
#200
Monroe Twp, NJ 08831
Phone (609) 395-2470

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

10 Forrestal Rd S
Ste 202
Princeton, NJ 08540
Phone (609) 896-1701

Interoperability endpoints

  • Direct secure messaging: jlore489097@direct.ahsys.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1073052999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022411928",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 ROUTE 22 STE 155",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072939",
            "telephone_number": "732-667-1123",
            "fax_number": "732-560-3206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Central Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Clark",
            "state": "NJ",
            "postal_code": "070661121",
            "country_code": "US",
            "telephone_number": "908-522-2829",
            "fax_number": "732-499-8128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LO RE",
        "first_name": "JUSTIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-13",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MB10884700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.