Active NPI
Lauren Kostelnik Kovalchik
- Pediatrics Physician
- Voorhees, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD448445
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA12497000 | NJ | MD | Pediatrics Physician |
| MD448445 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senacare, LLC | Current | Accepting new patients | |
| Senacare, LLC | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Voorhees Pediatric Facility | 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.
-
- Pediatric Skilled Nursing Facility
- Voorhees, NJ
- NPI 1770540171
Adp of the SNF, Operational/Managerial Control
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.
-
- Internal Medicine Physician
- Mullica Hill, NJ
- NPI 1104447127
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1023989837
-
- Pediatric Skilled Nursing Facility
- Voorhees, NJ
- NPI 1770540171
-
- Medically Fragile Infants and Children Day Care
- Voorhees, NJ
- NPI 1437585411
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Bethlehem, PA
- NPI 1982651600
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sellersville, PA
- NPI 1568459287
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.