Individual provider Active NPI

Azieb G Lofton, DO

  • Obstetrics & Gynecology Physician
  • West Deptford, NJ
National Provider Identifier
1144229303
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MB06994600 Issued in NJ
Practice address
600 Jessup Rd
West Deptford, NJ 08066-2413
Phone
(856) 845-4061
Fax
(856) 384-1770
NPI assigned
Jul 20, 2005
Last updated
Jun 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MB06994600 NJ Primary

Addresses

Primary practice location

600 Jessup Rd
West Deptford, NJ 08066-2413

Mailing address

600 Jessup Rd
West Deptford, NJ 08066-2413
Phone (856) 845-4061

Other names 1

  • Azieb Ghebremedhin Former name

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
I20060323000106 NJ Practitioner - Obstetrics/Gynecology 0143238824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York College of Osteo Medicine of New York Institute of Technology, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians

Practice addresses (Care Compare)

698 Mullica Hill Rd
Suite 220
Mullica Hill, NJ 08062-4453
Phone (856) 845-4061

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB06994600NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Health Network Medical Group, P.C. CurrentSince Jan 1, 2016 Accepting new patients
Beckett Family Practice Past Accepting new patients

Locations

1450 Almonesson Rd
Ste 275
Deptford, NJ 08096
Phone (856) 223-0965

698 Mullica Hill Rd
Ste 220
Mullica Hill, NJ 08062
Phone (856) 845-4061

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

4 Bypass Rd
Ste 101
Salem, NJ 08079
Phone (609) 935-3582

8 Bypass Rd
Salem, NJ 08079
Phone (856) 279-2560

2848 S Delsea Dr
Ste 4B
Vineland, NJ 08360
Phone (856) 205-7070

600 Jessup Rd
West Deptford, NJ 08086
Phone (856) 845-4061

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1144229303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 JESSUP RD",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080662413",
            "telephone_number": "856-845-4061",
            "fax_number": "856-384-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 JESSUP RD",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080662413",
            "telephone_number": "856-845-4061",
            "fax_number": "856-384-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTON",
        "first_name": "AZIEB",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB06994600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AZIEB",
            "last_name": "GHEBREMEDHIN",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Deptford, NJ

Sources for this page

Verify at the official NPI Registry.