NPIMap

Organization Active NPI

Lourdes Medical Associates, P.a.

Doing business as Lourdes Medical Associates Surgical Specialists

  • Surgery Physician
  • Willingboro, NJ
National Provider Identifier
1396020756
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MB06369000 Issued in NJ
Legal business name
LOURDES MEDICAL ASSOCIATES, P.A.
Doing business as
Lourdes Medical Associates Surgical Specialists
Practice address
1113 Hospital Dr
Suite 100
Willingboro, NJ 08046-1103
Phone
(609) 835-5821
Fax
(609) 835-5827
NPI assigned
Oct 18, 2011
Last updated
Sep 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
LOURDES MEDICAL ASSOCIATES, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MB06369000 NJ Primary

Addresses

Primary practice location

1113 Hospital Dr
Suite 100
Willingboro, NJ 08046-1103

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
6535704MedicaidNJ

Other names 1

  • Lourdes Medical Associates Surgical Specialists Doing business as

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

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1396020756",
    "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": "1113 HOSPITAL DR",
            "address_2": "SUITE 100",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461103",
            "telephone_number": "609-835-5821",
            "fax_number": "609-835-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES MEDICAL ASSOCIATES, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOURDES MEDICAL ASSOCIATES, P.A.",
        "enumeration_date": "2011-10-18",
        "last_updated": "2023-09-07",
        "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": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MB06369000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6535704",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lourdes Medical Associates Surgical Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willingboro, NJ

Sources for this page

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