Individual provider Active NPI

Joanne Sylvia Lane, D.O.

  • Pediatrics Physician
  • Burlington, NJ
National Provider Identifier
1831459080
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MB11177000 Issued in NJ
Practice address
651 High St
Burlington, NJ 08016-2737
Phone
(609) 386-0775
Fax
(609) 386-4372
NPI assigned
May 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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 25MB11177000 NJ Primary
Pediatrics Physician 208000000X 0102204108 VA

Addresses

Primary practice location

651 High St
Burlington, NJ 08016-2737

Mailing address

1 N White Horse Pike
Hammonton, NJ 08037-1875
Phone (609) 567-0434

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
I20211006000757 NJ Practitioner - Pediatric Medicine 6507264538 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB11177000NJMDPediatrics Physician
0102204108VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Jersey Family Medical Centers Inc CurrentSince Sep 7, 2021 Accepting new patients
Camcare Health Corporation CurrentSince Apr 26, 2025 Accepting new patients
Camcare Health Corporation CurrentSince Apr 26, 2025 Accepting new patients
Southern Jersey Family Medical Centers, Inc CurrentSince Sep 7, 2021 Accepting new patients
The Cooper Health System Past Accepting new patients

Locations

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

2610 Federal St
Camden, NJ 08105
Phone (856) 541-0212

817 Federal St
Camden, NJ 08103
Phone (856) 541-3270

121 White Horse Pike
Clementon, NJ 08021
Phone (856) 263-9439

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

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

600 Pemberton Browns Mills Rd
Pemberton, NJ 08068
Phone (609) 726-7000

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.

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1831459080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371875",
            "telephone_number": "609-567-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 HIGH ST",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080162737",
            "telephone_number": "609-386-0775",
            "fax_number": "609-386-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "JOANNE",
        "middle_name": "SYLVIA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB11177000",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0102204108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NJ

Sources for this page

Verify at the official NPI Registry.