NPIMap

Organization Active NPI

Lourdes Medical Center of Burlington County

  • Clinic/Center
  • Willingboro, NJ
National Provider Identifier
1144492018
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
10303 Issued in NJ
Legal business name
LOURDES MEDICAL CENTER OF BURLINGTON COUNTY
Practice address
220 Sunset Rd
Suite 1B
Willingboro, NJ 08046-1126
Phone
(609) 835-5204
Fax
(609) 835-5267
NPI assigned
Mar 31, 2008
Organization subpart
Yes
Parent organization
LOURDES MEDICAL CENTER OF BURLINGTON COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Gene Johnson
Title
Chief Administrative Officer
Phone
(609) 835-3056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 10303 NJ Primary

Addresses

Primary practice location

220 Sunset Rd
Suite 1B
Willingboro, NJ 08046-1126

Mailing address

500 Grove St
Suite 100
Haddon Heights, NJ 08035-1702
Phone (856) 796-9200

Other identifiers 1

IdentifierTypeStateIssuer
0051209MedicaidNJ

Other names 1

  • Women's Healthcare of Burlington County Doing business as

National Provider Directory

National Provider Directory
Part of
Lourdes Medical Center

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1144492018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GROVE ST",
            "address_2": "SUITE 100",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351702",
            "telephone_number": "856-796-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SUNSET RD",
            "address_2": "SUITE 1B",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461126",
            "telephone_number": "609-835-5204",
            "fax_number": "609-835-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES MEDICAL CENTER OF BURLINGTON COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOURDES MEDICAL CENTER OF BURLINGTON COUNTY",
        "enumeration_date": "2008-03-31",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "609-835-3056"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "10303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051209",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Healthcare of Burlington County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willingboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.