Lickfield Medical Associates

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LICKFIELD MEDICAL ASSOCIATES

Practice address

5521 Westfield Avenue
Pennsauken, NJ 08110-1820

Phone

(856) 663-4060

Fax

(856) 663-7530

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William M Lickfield, DO

Title

President

Phone

(856) 663-4060

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pankaj Haribhai Agrawal, M.D.

  • Family Medicine Physician
  • Pennsauken, NJ
  • NPI 1962661215
  NPD (past)
• Joseph Arthur White, DO

  • Family Medicine Physician
  • Stratford, NJ
  • NPI 1467539379
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073698957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5521 WESTFIELD AVENUE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081101820",
            "telephone_number": "856-663-4060",
            "fax_number": "856-663-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5521 WESTFIELD AVENUE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081101820",
            "telephone_number": "856-663-4060",
            "fax_number": "856-663-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LICKFIELD MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LICKFIELD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-663-4060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyliah Lawrence
• Escher Lee
• Stacey Lee, LSW
• Richard Thomas Leiby, D.D.S.
• Aaron Lewis, RN
• Neil K Liebman, DC,C.C.S.T.
• Life at Lourdes Inc
• Patrick Bosun Lin, DDS
• Elizabeth M Linette, CSN, MSN, RN
• Dana Marie Liston, M.S. CCC-SLP

• Family Medicine Physician in Pennsauken, NJ
• Providers in Pennsauken, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.