Active NPI
Joanne Sylvia Lane, D.O.
- Pediatrics Physician
- Burlington, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MB11177000
- 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
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB11177000 | NJ | MD | Pediatrics Physician |
| 0102204108 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Jersey Family Medical Centers Inc | Current | Accepting new patients | |
| Camcare Health Corporation | Current | Accepting new patients | |
| Camcare Health Corporation | Current | Accepting new patients | |
| Southern Jersey Family Medical Centers, Inc | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Camden, NJ
- NPI 1790857696
-
- Federally Qualified Health Center (FQHC)
- Hammonton, NJ
- NPI 1568473973
-
- Federally Qualified Health Center (FQHC)
- Camden, NJ
- NPI 1912179953
-
- Federally Qualified Health Center (FQHC)
- Atlantic City, NJ
- NPI 1598939506
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.