Active NPI
Lawrence Lo, M.D.
- Diagnostic Radiology Physician
- Woodbury Heights, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25MA11095500
- Practice address
- 1006 Mantua Pike
Woodbury Heights, NJ 08097-1221 - Phone
- (856) 686-8282
- Fax
- (856) 686-8280
- NPI assigned
- Apr 17, 2015
- Last updated
- May 22, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA11095500 | NJ | Primary |
| Diagnostic Radiology Physician | 2085R0202X | ME179563 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | MD473060 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | MD20083 | RI |
Addresses
Primary practice location
1006 Mantua Pike
Woodbury Heights, NJ 08097-1221
Mailing address
1006 Mantua Pike
Woodbury Heights, NJ 08097-1221
Phone (856) 686-8282
Other practice location 1
13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (877) 856-3774
Other practice location 2
450 Veterans Memorial Pkwy Bldg 2
East Providence, RI 02914-5300
Phone (401) 432-2500
Other practice location 3
3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, PA, NJ, IL, RI, MD, IN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- New York Medical College, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (219) 757-6320
27 Richards Rd
Lawrence Township, NJ 08648-1330
Phone (847) 637-8711
2717 N Lehmann CT
Apt 12
Chicago, IL 60614-1600
Phone (219) 767-6320
550 Summit Ave
Jersey City, NJ 07306-2707
Phone (973) 661-4674
81 Montgomery St
Apt 3
Jersey City, NJ 07302-3738
Phone (888) 501-6087
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME179563 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Chicago Medical Center | Current | Accepting new patients | |
| Brigham & Womens Physicians Organization Inc | Current | Accepting new patients | |
| Diagnostic Imaging Services, LLC | Current | Accepting new patients | |
| Harbor Medical Associates, Inc. | Current | Accepting new patients | |
| Rhode Island Medical Imaging Inc | Diagnostic Radiology | Current | Accepting new patients |
| University of Penn-Medical Group | Current | Accepting new patients | |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| Maryland Imaging Network PC | Diagnostic Radiology | Current | Accepting new patients |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Harbor Medical Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| Upson Medical Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Rhode Island Medical Imaging Inc | Diagnostic Radiology | Current | Accepting new patients |
| Radpod FL PLLC | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 39)
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243
2020 Meridian St
Anderson, IN 46016
Phone (317) 863-2593
2020 Meridian St
Ste 150
Anderson, IN 46016
Phone (765) 646-8663
2101 Jackson St
Ste 116
Anderson, IN 46016
Phone (765) 646-8172
9613 E US Highway 36
Avon, IN 46123
Phone (317) 415-5980
10580 N Meridian St
Carmel, IN 46290
Phone (317) 338-2273
13250 Hazel Dell Pkwy
Ste 104
Carmel, IN 46033
Phone (317) 415-6117
13420 N Meridian St
Ste 100
Carmel, IN 46032
Phone (317) 582-7474
13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000
1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100
1201 S Main St
Ste 1
Crown Point, IN 46307
13861 Olio Rd
Fishers, IN 46037
Phone (317) 338-7136
7199 Easy St
Fishers, IN 46038
Phone (317) 415-6110
2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617
8050 Township Line Rd
Indianapolis, IN 46260
Phone (317) 338-3070
8111 Township Line Rd
Indianapolis, IN 46260
Phone (317) 415-7921
8301 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 415-6693
8451 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 884-7540
8602 Allisonville Rd
Indianapolis, IN 46250
Phone (317) 703-1970
1765 E Lincoln Rd
Kokomo, IN 46902
Phone (765) 236-8380
1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611
305 S Berkley Rd
Kokomo, IN 46901
Phone (317) 457-4800
10801 N Michigan Rd
Ste 100
Zionsville, IN 46077
Phone (317) 344-1234
Interoperability endpoints
- llo235228@uchospital.direct-ci.com
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1699072611
IL, NJ
-
- Diagnostic Radiology Physician
- Prince Frederick, MD
- NPI 1487296471
IL, NJ
-
- Anesthesiology Physician
- Thomaston, GA
- NPI 1871575993
Diagnostic Radiology, NJ
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1114723608
NJ
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- Radiology Clinic/Center
- Hagerstown, MD
- NPI 1114982808
-
- Cardiovascular Disease Physician
- South Weymouth, MA
- NPI 1124079561
-
- Diagnostic Radiology Physician
- Warwick, RI
- NPI 1205874930
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1033218128
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
-
dba Physician Diagnostics
- Diagnostic Radiology Physician
- S Weymouth, MA
- NPI 1689909723
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1811735228
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1982442398
-
- General Acute Care Hospital
- Joliet, IL
- NPI 1760220198
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1265270607
-
- General Acute Care Hospital
- Kankakee, IL
- NPI 1467290809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1699162511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 MANTUA PIKE",
"city": "WOODBURY HEIGHTS",
"state": "NJ",
"postal_code": "080971221",
"telephone_number": "856-686-8282",
"fax_number": "856-686-8280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 MANTUA PIKE",
"city": "WOODBURY HEIGHTS",
"state": "NJ",
"postal_code": "080971221",
"telephone_number": "856-686-8282",
"fax_number": "856-686-8280"
}
],
"practiceLocations": [
{
"address_1": "13813 Metro Pkwy",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339124343",
"country_code": "US",
"telephone_number": "877-856-3774",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "450 Veterans Memorial Pkwy Bldg 2",
"address_purpose": "LOCATION",
"city": "East Providence",
"state": "RI",
"postal_code": "029145300",
"country_code": "US",
"telephone_number": "401-432-2500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3400 Spruce St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044238",
"country_code": "US",
"telephone_number": "215-662-3000",
"fax_number": "215-662-7011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LO",
"first_name": "LAWRENCE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-17",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA11095500",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME179563",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD473060",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "RI",
"license": "MD20083",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury Heights, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.