Organization Active NPI

Lifecare Physicians, P.C.

  • Colon & Rectal Surgery Physician
  • Hamilton, NJ
National Provider Identifier
1831566504
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
LIFECARE PHYSICIANS, P.C.
Practice address
1225 Whitehorse Mercerville Rd
Suite 203
Hamilton, NJ 08619-3882
Phone
(609) 581-6060
NPI assigned
Aug 28, 2015
Organization subpart
Yes
Parent organization
LIFECARE PHYSICIANS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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

Authorized official

Name
Mark Kelly
Title
VP Finance/ Cfo
Phone
(609) 599-5036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208C00000X Primary

Addresses

Primary practice location

1225 Whitehorse Mercerville Rd
Suite 203
Hamilton, NJ 08619-3882

Mailing address

500 Grove St
Suite 100
Haddon Heights, NJ 08035-1761
Phone (856) 796-9200

Other names 1

  • LifeCare Physicians of Hamilton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lifecare Physicians PC7 organizations share this tax ID, including this one
Part of
Lifecare Physicians PC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1831566504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GROVE ST",
            "address_2": "SUITE 100",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351761",
            "telephone_number": "856-796-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 203",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193882",
            "telephone_number": "609-581-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE PHYSICIANS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFECARE PHYSICIANS, P.C.",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VP FINANCE/ CFO",
        "authorized_official_telephone_number": "609-599-5036"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeCare Physicians of Hamilton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.