Individual provider Active NPI

Lisa Ann Dructor, D.O.

  • Internal Medicine Physician
  • Voorhees, NJ
National Provider Identifier
1245296169
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB08322700 Issued in NJ
Practice address
2301 E Evesham Rd Ste 306
Voorhees, NJ 08043-4503
Phone
(856) 554-3822
Fax
(856) 554-3823
NPI assigned
Apr 21, 2006
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB08322700 NJ Primary

Addresses

Primary practice location

2301 E Evesham Rd Ste 306
Voorhees, NJ 08043-4503

Mailing address

2301 E Evesham Rd Ste 306
Voorhees, NJ 08043-4503
Phone (856) 554-3822

Other practice location 1

2106 New Rd Ste F2
Linwood, NJ 08221-1053
Phone (609) 699-5750

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
I20090113000355 NJ Practitioner - Internal Medicine 0840353124 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Universal Health Partners LLCGroup PAC ID 9739629882, 3 clinicians
100 Percent Healthcare LLCGroup PAC ID 7719407014, 6 clinicians
Medical Office ForceGroup PAC ID 9335481951, 58 clinicians

Practice addresses (Care Compare)

20 N County Line Rd
Jackson, NJ 08527-0247
Phone (732) 961-8524

2106 New Rd
Suite F2
Linwood, NJ 08221-1053
Phone (609) 699-5750

2301 E Evesham Rd
Suite 306
Voorhees, NJ 08043-4503
Phone (856) 554-3822

35 Beaverson Blvd
Suite 7B
Brick, NJ 08723-7860
Phone (706) 208-9700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08322700NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
100 Percent Healthcare LLC Internal Medicine CurrentSince Feb 1, 2025 Accepting new patients
Voorhees Medical Practice LLC Internal Medicine CurrentSince May 1, 2025 Accepting new patients
Universal Health Partners LLC CurrentSince Apr 21, 2025 Accepting new patients
Oceana Rehab & Nursing LLC Past Accepting new patients
Cape May SNF, LLC Past Accepting new patients
Dr. John Trzesniowski LLC Past Accepting new patients

Locations

20 N County Line Rd
Jackson, NJ 08527
Phone (732) 961-8524

1105 E County Line Rd
Lakewood, NJ 08701

2106 New Rd
Ste F1
Linwood, NJ 08221
Phone (609) 699-5750

2106 New Rd
Ste F2
Linwood, NJ 08221
Phone (609) 699-5750

1418 New Rd
Ste 1C
Northfield, NJ 08225
Phone (609) 699-5750

2301 E Evesham Rd
Ste 306
Voorhees, NJ 08043
Phone (856) 554-3822

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/CHAFCD/Endpoint/CHAFCD

Organizations & group practices 8

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1245296169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 306",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434503",
            "telephone_number": "856-554-3822",
            "fax_number": "856-554-3823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 306",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434503",
            "telephone_number": "856-554-3822",
            "fax_number": "856-554-3823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2106 New Rd Ste F2",
            "address_purpose": "LOCATION",
            "city": "Linwood",
            "state": "NJ",
            "postal_code": "082211053",
            "country_code": "US",
            "telephone_number": "609-699-5750",
            "fax_number": "609-699-5752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRUCTOR",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB08322700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.