NPIMap

Individual provider Active NPI

Lauren Kristen Sulovski, P.A.-C

  • Medical Physician Assistant
  • Fountain Hill, PA
National Provider Identifier
1881886034
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00184000 Issued in NJ
Practice address
701 Ostrum St
Suite 203
Fountain Hill, PA 18015-1155
Phone
(610) 691-3603
NPI assigned
Aug 13, 2007
Last updated
May 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00184000 NJ Primary
Medical Physician Assistant 363AM0700X MD053030 PA
Surgical Physician Assistant 363AS0400X 25MP00184000 NJ

Addresses

Primary practice location

701 Ostrum St
Suite 203
Fountain Hill, PA 18015-1155

Mailing address

701 Ostrum St
Suite 203
Fountain Hill, PA 18015-1155
Phone (610) 691-3603

Other names 1

  • Miss Lauren Kristen Johansen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080627000023 NJ Practitioner - Physician Assistant 2163594748 Reassigns benefits to 3 organizations
I20160823000169 PA Practitioner - Physician Assistant 2163594748 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

187 County Rd
Belvidere, NJ 07823-1900

200 Strykers Rd
Phillipsburg, NJ 08865-9488
Phone (908) 847-1035

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00184000NJMDMedical Physician Assistant
MD053030PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Hospital - Anderson Campus CurrentSince Jul 10, 2023 Accepting new patients
St. Luke's Quakertown Hospital CurrentSince Jul 10, 2023 Accepting new patients
St. Luke's Hospital Monroe Campus CurrentSince Jul 10, 2023 Accepting new patients
GSL Hospital CurrentSince Jul 10, 2023 Accepting new patients
Carbon - Schuylkill Community Hospital Inc CurrentSince Jul 10, 2023 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Mar 18, 2024 Accepting new patients
St. Luke's Hospital CurrentSince Jul 10, 2023 Accepting new patients
St. Luke's Quakertown Hospital CurrentSince Jul 10, 2023 Accepting new patients
St Luke's Hospital CurrentSince Jul 10, 2023 Accepting new patients
St. Luke's Hosptial CurrentSince Jul 10, 2023 Accepting new patients
St. Luke's Hospital Monroe Campus CurrentSince Jul 10, 2023 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Jul 8, 2019 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Jun 22, 2016 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Jul 10, 2023 Accepting new patients
St Luke's Physician Group Inc CurrentSince Jun 22, 2016 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Mar 18, 2024 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Jul 8, 2019 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients

Locations

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

200 Strykers Rd
Phillipsburg, NJ 08865
Phone (908) 847-1035

409 Coventry Dr
Phillipsburg, NJ 08865
Phone (908) 213-0029

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

111 Route 715
Brodheadsvlle, PA 18322
Phone (272) 212-0420

701 Ostrum St
Ste 203
Fountain Hill, PA 18015
Phone (484) 526-7474

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

2650 Woodglen Rd
Pottsville, PA 17901
Phone (272) 639-5755

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

Interoperability endpoints

  • Direct secure messaging: lauren.sulivski@slpg.direct-sluhn.org
  • Direct secure messaging: lsulovski340573@epicdirect.rwjbh.org

Organizations & group practices 25

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 25

Hospital & facility affiliations 7

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": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1881886034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 OSTRUM ST",
            "address_2": "SUITE 203",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151155",
            "telephone_number": "610-691-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 OSTRUM ST",
            "address_2": "SUITE 203",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151155",
            "telephone_number": "610-691-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULOVSKI",
        "first_name": "LAUREN",
        "middle_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00184000",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MD053030",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00184000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "JOHANSEN",
            "middle_name": "KRISTEN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fountain Hill, PA

Sources for this page

Verify at the official NPI Registry.