Organization Active NPI

Lifecare Physicians, P.C.

Doing business as Lifecare GI Physicians P.C.

  • Gastroenterology Physician
  • Hamilton, NJ
National Provider Identifier
1477929727
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
LIFECARE PHYSICIANS, P.C.
Doing business as
Lifecare GI Physicians P.C.
Practice address
2275 Whitehorse Mercerville Rd
Suite 6 &7
Hamilton, NJ 08619-2643
Phone
(609) 890-0200
NPI assigned
Aug 20, 2015
Last updated
Aug 20, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
LIFECARE PHYSICIANS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Authorized official

Name
Mark Kelly
Title
VP Finance/Cfo
Phone
(609) 599-5036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

2275 Whitehorse Mercerville Rd
Suite 6 &7
Hamilton, NJ 08619-2643

Mailing address

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

Other names 1

  • Lifecare GI Physicians P.C. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lifecare Physicians PC7 organizations share this tax ID, including this one
Part of
Lifecare Physicians PC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2275 Whitehorse Mercerville Rd
Ste 6
Hamilton, NJ 08619
Phone (609) 890-0200

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 1

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": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1477929727",
    "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": "856-796-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 6 &7",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086192643",
            "telephone_number": "609-890-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE PHYSICIANS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFECARE PHYSICIANS, P.C.",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VP FINANCE/CFO",
        "authorized_official_telephone_number": "609-599-5036"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifecare GI Physicians P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.