Active NPI
Todd M Lipschultz, MD
- Orthopaedic Surgery Physician
- Woodbury, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MA054868
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0432925000 | Other | IBS PPO | |
| 326449 | Other | COVENTRY | |
| 0432925000 | Other | AMERIHEALTH HMO | |
| 2K9209 | Other | HEALTHNET | |
| 0432925000 | Other | AMERIHEALTH | |
| 1271200 | Other | CIGNA | |
| GLS061 | Other | OXFORD | |
| 0432925000 | Other | IBS | |
| 0432925000 | Other | KEYSTONE | |
| 2577532 | Other | UNITED 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- 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
Procedures performed for Medicare patients
| Procedure | Number 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
| License | State | Type | Specialty |
|---|---|---|---|
| MA054868 | NJ | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Orthopaedic of South Jersey | Orthopaedic Surgery | Current | Accepting new patients |
| South Jersey Musculoskeletal Institute, LLC | Past | 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
- 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.
-
- Orthopaedic Surgery Physician
- Woodbury, NJ
- NPI 1750426151
-
- Ambulatory Surgical Clinic/Center
- Sewell, NJ
- NPI 1013136456
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.