Individual provider Active NPI

Todd M Lipschultz, MD

  • Orthopaedic Surgery Physician
  • Woodbury, NJ
National Provider Identifier
1124197942
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MA054868 Issued in NJ
Practice address
1007 Mantua Pike
Woodbury, NJ 08096
Phone
(856) 853-8004
Fax
(856) 853-8022
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MA054868 NJ Primary

Addresses

Primary practice location

1007 Mantua Pike
Woodbury, NJ 08096

Mailing address

1007 Mantua Pike
Woodbury, NJ 08096
Phone (856) 853-8004

Other identifiers 10

IdentifierTypeStateIssuer
0432925000OtherIBS PPO
326449OtherCOVENTRY
0432925000OtherAMERIHEALTH HMO
2K9209OtherHEALTHNET
0432925000OtherAMERIHEALTH
1271200OtherCIGNA
GLS061OtherOXFORD
0432925000OtherIBS
0432925000OtherKEYSTONE
2577532OtherUNITED HEALTHCARE

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
I20050728000654 NJ Practitioner - Orthopedic SurgeryPractitioner - Sports MedicinePractitioner - Hand Surgery 4981642642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery, Sports Medicine
Education
Perelman School of Med at the University of Pennsylvania, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1007 Mantua Pike
West Deptford, NJ 08096-3963
Phone (856) 853-8004

Hospital & facility affiliations

  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA054868NJMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic of South Jersey Orthopaedic Surgery CurrentSince Apr 26, 2005 Accepting new patients
South Jersey Musculoskeletal Institute, LLC PastSince Jan 1, 2014 Accepting new patients

Locations

522 Lippincott Dr
#B
Marlton, NJ 08053
Phone (856) 900-0041

1007 Mantua Pike
West Deptford, NJ 08096
Phone (856) 845-1253

1007 Mantua Pike
Ste 2
West Deptford, NJ 08096
Phone (856) 845-4601

Interoperability endpoints

  • Direct secure messaging: todd.lipschultz@premierorthoofsjpa.chartmakerdirect.com

Organizations & group practices 2

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 1

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124197942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 MANTUA PIKE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "08096",
            "telephone_number": "856-853-8004",
            "fax_number": "856-853-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 MANTUA PIKE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "08096",
            "telephone_number": "856-853-8004",
            "fax_number": "856-853-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSCHULTZ",
        "first_name": "TODD",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "MA054868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBS PPO",
            "identifier": "0432925000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "326449",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "0432925000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2K9209",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0432925000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1271200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "GLS061",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBS",
            "identifier": "0432925000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0432925000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2577532",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

Verify at the official NPI Registry.