Individual provider Active NPI

Lanvin F Taylor II, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Stratford, NJ
National Provider Identifier
1295068476
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MB10795000 Issued in NJ
Practice address
42 E Laurel Rd Ste 1700
Stratford, NJ 08084-1354
Phone
(856) 566-7010
Fax
(856) 566-6956
NPI assigned
Sep 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MB10795000 NJ Primary
Physical Medicine & Rehabilitation Physician 208100000X OS016300 PA

Addresses

Primary practice location

42 E Laurel Rd Ste 1700
Stratford, NJ 08084-1354

Mailing address

42 E Laurel Rd Ste 1700
Stratford, NJ 08084-1354
Phone (856) 566-7010

Other identifiers 1

IdentifierTypeStateIssuer
1E4349OtherNJMEDICARE PIN

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
I20200713001056 NJ Practitioner - Physical Medicine and Rehabilitation 8325282718 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB10795000NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Hospitalist Physicians of New Jersey PC Current Accepting new patients
Ipc Hospitalist Physicians of New Jersey PC CurrentSince Dec 11, 2021 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

77 Madison Ave
Morristown, NJ 07960
Phone (973) 540-9800

151 Madison Ave
Morristown, NJ 07960
Phone (973) 565-2700

95 Mount Kemble Ave
Morristown, NJ 07960
Phone (973) 971-4451

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

1237 W Sherman Ave
Vineland, NJ 08360
Phone (856) 223-7718

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1295068476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 E LAUREL RD STE 1700",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841354",
            "telephone_number": "856-566-7010",
            "fax_number": "856-566-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E LAUREL RD STE 1700",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841354",
            "telephone_number": "856-566-7010",
            "fax_number": "856-566-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LANVIN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-07",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB10795000",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OS016300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "1E4349",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, NJ

Sources for this page

Verify at the official NPI Registry.