Individual provider Active NPI

Lauren Kostelnik Kovalchik

  • Pediatrics Physician
  • Voorhees, NJ
National Provider Identifier
1811213929
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD448445 Issued in PA
Practice address
1304 Laurel Oak Rd
Voorhees, NJ 08043-4310
Phone
(888) 873-5437
NPI assigned
Apr 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA12497000 NJ
Pediatrics Physician 208000000X MD448445 PA Primary

Addresses

Primary practice location

1304 Laurel Oak Rd
Voorhees, NJ 08043-4310

Mailing address

205 Martins LN
Media, PA 19063-5854
Phone (610) 357-4925

Other practice location 1

5 Life Mark Dr
Sellersville, PA 18960-1577
Phone (215) 257-1155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250702001150 NJ Practitioner - Pediatric Medicine 1456864438 Reassigns benefits to 1 organization
I20251112004047 PA Practitioner - Pediatric Medicine 1456864438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

174 W Tomlin Station Rd
Suite 1
Mickleton, NJ 08056-1328

205 Martins LN
Media, PA 19063-5854

PO Box
Suite 43
Swartswood, NJ 07877

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA12497000NJMDPediatrics Physician
MD448445PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Senacare, LLC CurrentSince Apr 25, 2025 Accepting new patients
Senacare, LLC CurrentSince Apr 25, 2025 Accepting new patients
Lifepath, Inc. Past Accepting new patients
Forkidcare, LLC Past Accepting new patients
Forkidcare LLC Past Accepting new patients

Locations

507 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (609) 455-1576

1511 Clements Bridge Rd
Woodbury, NJ 08096
Phone (856) 513-4124

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Voorhees Pediatric FacilityVoorhees, NJ, CCN 315289 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Feb 10, 2025
Nov 26, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 1

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": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1811213929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MARTINS LN",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635854",
            "telephone_number": "610-357-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 LAUREL OAK RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434310",
            "telephone_number": "888-873-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Life Mark Dr",
            "address_purpose": "LOCATION",
            "city": "Sellersville",
            "state": "PA",
            "postal_code": "189601577",
            "country_code": "US",
            "telephone_number": "215-257-1155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOVALCHIK",
        "first_name": "LAUREN",
        "middle_name": "KOSTELNIK",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA12497000",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD448445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.