Individual provider Active NPI

Rebecca McLane, M.D.

  • Pediatrics Physician
  • Salem, NJ
National Provider Identifier
1780657916
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA08932700 Issued in NJ
Practice address
238 E Broadway
Salem, NJ 08079-1108
Phone
(856) 935-7711
Fax
(856) 935-9123
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA08932700 NJ Primary

Addresses

Primary practice location

238 E Broadway
Salem, NJ 08079-1108

Mailing address

1 Executive Dr Ste 400
Marlton, NJ 08053-4278
Phone (609) 567-0434

Other identifiers 1

IdentifierTypeStateIssuer
0270121MedicaidNJ

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
I20110907000981 NJ Practitioner - Pediatric Medicine 2961672605 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08932700NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Jersey Family Medical Centers, Inc. CurrentSince Aug 22, 2011 Accepting new patients
Southern Jersey Family Medical Centers, Inc CurrentSince Aug 22, 2011 Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients

Locations

651 High St
Burlington City, NJ 08016
Phone (609) 386-0775

1 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

238 E Broadway
Salem, NJ 08079
Phone (800) 486-0131

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1780657916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE DR STE 400",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534278",
            "telephone_number": "609-567-0434",
            "fax_number": "609-704-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 E BROADWAY",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "080791108",
            "telephone_number": "856-935-7711",
            "fax_number": "856-935-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLANE",
        "first_name": "REBECCA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08932700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0270121",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NJ

Sources for this page

Verify at the official NPI Registry.