Individual provider Active NPI

Lawrence Lo, M.D.

  • Diagnostic Radiology Physician
  • Woodbury Heights, NJ
National Provider Identifier
1699162511
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA11095500 Issued in NJ
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20200728001404 MA Practitioner - Internal Medicine 0648570796 Reassigns benefits to 2 organizations
I20210505001060 PA Practitioner - Diagnostic Radiology 0648570796 Reassigns benefits to 1 organization
I20210611002211 NJ Practitioner - Diagnostic Radiology 0648570796 Reassigns benefits to 5 organizations
I20220805001365 IL Practitioner - Diagnostic Radiology 0648570796 Reassigns benefits to 3 organizations
I20240627003681 RI Practitioner - Diagnostic Radiology 0648570796 Reassigns benefits to 1 organization
I20241016002917 MD Practitioner - Diagnostic Radiology 0648570796 Reassigns benefits to 1 organization
I20250313002168 IN Practitioner - Diagnostic Radiology 0648570796 Reassigns benefits to 1 organization
I20260601000663 FL Practitioner - Diagnostic Radiology 0648570796

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
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Illinois Diagnostic and Interventional Radiology PLLCGroup PAC ID 5092215889, 118 clinicians
Maryland Imaging Network PCGroup PAC ID 6103259304, 79 clinicians
Upson Medical Associates LLCGroup PAC ID 8729074059, 89 clinicians

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

LicenseStateTypeSpecialty
ME179563FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Jul 1, 2022 Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Jul 1, 2020 Accepting new patients
Diagnostic Imaging Services, LLC CurrentSince Sep 30, 2024 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Jul 23, 2020 Accepting new patients
Rhode Island Medical Imaging Inc Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
The University of Chicago Medical Center CurrentSince Jul 1, 2022 Accepting new patients
Maryland Imaging Network PC Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2021 Accepting new patients
Harbor Medical Associates, Inc. Diagnostic Radiology CurrentSince Jul 23, 2020 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
Upson Medical Associates LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2021 Accepting new patients
Rhode Island Medical Imaging Inc Diagnostic Radiology CurrentSince Aug 1, 2024 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

  • Direct secure messaging: 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.

View all 17

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": "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

Verify at the official NPI Registry.