Individual provider Active NPI

Jason Lotkowski, DO

  • Family Medicine Physician
  • Swedesboro, NJ
National Provider Identifier
1508837204
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB07872600 Issued in NJ
Practice address
617 Auburn Ave
Suite 103
Swedesboro, NJ 08085-1620
Phone
(856) 467-7360
Fax
(856) 467-5959
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB07872600 NJ Primary

Addresses

Primary practice location

617 Auburn Ave
Suite 103
Swedesboro, NJ 08085-1620

Mailing address

1120 Delsea Dr N
Glassboro, NJ 08028-1444
Phone (856) 686-5480

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
I20060104000029 NJ Practitioner - Family Practice 5698706810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians

Practice addresses (Care Compare)

40 Village Green Dr
Suite B
Swedesboro, NJ 08085-3251
Phone (856) 467-7360

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB07872600NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Health Network Medical Group, P.C. CurrentSince May 1, 2013 Accepting new patients

Locations

1120 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 205-7071

34 Colson Ln
Mullica Hill, NJ 08062
Phone (856) 223-0500

1 W Broad St
Paulsboro, NJ 08066
Phone (856) 223-0436

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

40 Village Green Dr
Ste B
Swedesboro, NJ 08085
Phone (856) 467-7360

75 W Red Bank Ave
Woodbury, NJ 08096
Phone (856) 853-2055

40 Village Green Dr
Woolwich Twp, NJ 08085
Phone (856) 223-8930

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1508837204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 DELSEA DR N",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281444",
            "telephone_number": "856-686-5480",
            "fax_number": "856-853-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 AUBURN AVE",
            "address_2": "SUITE 103",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080851620",
            "telephone_number": "856-467-7360",
            "fax_number": "856-467-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTKOWSKI",
        "first_name": "JASON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB07872600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swedesboro, NJ

Sources for this page

Verify at the official NPI Registry.