Individual provider Active NPI

Jared Lander

  • Gastroenterology Physician
  • Marlton, NJ
National Provider Identifier
1215390877
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MB11254300 Issued in NJ
Practice address
406 Lippincott Dr Ste E
Marlton, NJ 08053-4168
Phone
(856) 983-1900
Fax
(856) 983-5110
NPI assigned
Mar 31, 2016
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MB11254300 NJ Primary

Addresses

Primary practice location

406 Lippincott Dr Ste E
Marlton, NJ 08053-4168

Mailing address

406 Lippincott Dr Ste E
Marlton, NJ 08053-4168
Phone (856) 983-1900

Other practice location 1

501 5th St Ste A
Atco, NJ 08004-1861
Phone (856) 753-3066

Other practice location 2

807 N Haddon Ave Ste 201
Haddonfield, NJ 08033-1749
Phone (856) 428-2112

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
I20220627001750 NJ Practitioner - Gastroenterology 3274821400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Philadelphia College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone (856) 354-2211

175 Cross Keys Rd
Suite 300a
Berlin, NJ 08009-9263
Phone (856) 872-7055

406 Lippincott Dr
Marlton, NJ 08053-4168

501 5TH St
Suite a
Atco, NJ 08004-1861
Phone (856) 872-7055

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy104
Upper gastrointestinal (GI) endoscopy for acid reflux94

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Gastroenterology Current Accepting new patients
Advocare, LLC CurrentSince Jan 1, 2024 Accepting new patients
Virtua Medical Group, PA CurrentSince Aug 1, 2022 Accepting new patients
Virtua Medical Group, PA CurrentSince Aug 1, 2022 Accepting new patients
Advocare , LLC CurrentSince Jan 1, 2024 Accepting new patients
Advocare, LLC Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

807 N Haddon Ave
Ste 201
Haddonfield, NJ 08033
Phone (856) 428-2112

301 Lippincott Dr
Ste 120
Marlton, NJ 08053
Phone (856) 355-0333

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

406 Lippincott Dr
Ste E
Marlton, NJ 08053
Phone (856) 770-1920

Interoperability endpoints

  • Direct secure messaging: jared.lander@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 6

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 2

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": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1215390877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 LIPPINCOTT DR STE E",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534168",
            "telephone_number": "856-983-1900",
            "fax_number": "856-983-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 LIPPINCOTT DR STE E",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534168",
            "telephone_number": "856-983-1900",
            "fax_number": "856-983-5110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 5th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Atco",
            "state": "NJ",
            "postal_code": "080041861",
            "country_code": "US",
            "telephone_number": "856-753-3066",
            "fax_number": "856-983-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "807 N Haddon Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Haddonfield",
            "state": "NJ",
            "postal_code": "080331749",
            "country_code": "US",
            "telephone_number": "856-428-2112",
            "fax_number": "856-983-5110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDER",
        "first_name": "JARED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MB11254300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.