NPIMap

Organization Active NPI

Lourdes Medical Center of Burlington County

Doing business as Lourdes After Hours Family Practice

  • Family Medicine Physician
  • Browns Mills, NJ
National Provider Identifier
1245546027
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB05827400 Issued in NJ
Legal business name
LOURDES MEDICAL CENTER OF BURLINGTON COUNTY
Doing business as
Lourdes After Hours Family Practice
Practice address
200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone
(856) 824-3400
Fax
(856) 824-1403
NPI assigned
Aug 31, 2010
Last updated
Aug 31, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
LOURDES MEDICAL CENTER OF BURLINGTON COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Authorized official

Name
Eugene Johnson
Title
Cco
Phone
(609) 835-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB05827400 NJ Primary

Addresses

Primary practice location

200 Trenton Rd
Browns Mills, NJ 08015-1705

Mailing address

500 Grove St
Suite 100
Haddon Heights, NJ 08035-1761
Phone (856) 796-9200

Other names 1

  • Lourdes After Hours Family Practice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lourdes Medical Center3 organizations share this tax ID, including this one
Part of
Lourdes Medical Center

Other organizations with this tax ID 2

Organizations that report the same tax identification number in 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": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1245546027",
    "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": "080351761",
            "telephone_number": "856-796-9200",
            "fax_number": "856-310-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TRENTON RD",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "080151705",
            "telephone_number": "856-824-3400",
            "fax_number": "856-824-1403"
        }
    ],
    "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": "2010-08-31",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "609-835-2900"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB05827400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lourdes After Hours Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Browns Mills, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.