NPIMap

Organization Active NPI

Lourdes Medical Associates, PA

  • Gastroenterology Physician
  • Cherry Hill, NJ
National Provider Identifier
1366681272
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA07878000 Issued in NJ
Legal business name
LOURDES MEDICAL ASSOCIATES, PA
Practice address
63 Kresson Rd Ste 104
Cherry Hill, NJ 08034-3200
Phone
(856) 751-7420
Fax
(856) 424-3113
NPI assigned
Feb 17, 2009
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
LOURDES MEDICAL ASSOCIATES, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Steven Fox, MD
Title
President
Phone
(856) 796-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA07878000 NJ Primary

Addresses

Primary practice location

63 Kresson Rd Ste 104
Cherry Hill, NJ 08034-3200

Mailing address

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

Other practice location 1

1765 Springdale Rd
Suite B1
Cherry Hill, NJ 08003-2177
Phone (856) 751-7420

National Provider Directory

National Provider Directory
Tax ID family
Laurdes Medical Associa65 organizations share this tax ID, including this one
Part of
Laurdes Medical Associa

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

63 Kresson Rd
Ste 104
Cherry Hill, NJ 08034
Phone (856) 751-7420

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.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1366681272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GROVE ST STE 100",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351761",
            "telephone_number": "856-796-9200",
            "fax_number": "856-796-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 KRESSON RD STE 104",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343200",
            "telephone_number": "856-751-7420",
            "fax_number": "856-424-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1765 Springdale Rd",
            "address_2": "Suite B1",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080032177",
            "country_code": "US",
            "telephone_number": "856-751-7420",
            "fax_number": "856-547-2259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOURDES MEDICAL ASSOCIATES, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOURDES MEDICAL ASSOCIATES, PA",
        "enumeration_date": "2009-02-17",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-796-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA07878000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.