Active NPI
Jason Lotkowski, DO
- Family Medicine Physician
- Swedesboro, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MB07872600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB07872600 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspira Health Network Medical Group, P.C. | Current | 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.
-
- Multi-Specialty Clinic/Center
- Glassboro, NJ
- NPI 1922177856
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elmer, NJ
- NPI 1255396024
-
- General Acute Care Hospital
- Mullica Hill, NJ
- NPI 1366097032
-
- Home Health Agency
- West Deptford, NJ
- NPI 1629431481
-
- Home Health Agency
- Millville, NJ
- NPI 1710340575
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.