Active NPI
Morgan Ellyse Lake, NP
- Women's Health Nurse Practitioner
- Marlton, NJ
National Provider Identifier
1902785256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- SP033565
- Practice address
- 400 Lippincott Dr Ste 130
Marlton, NJ 08053-4161 - Phone
- (856) 596-2233
- NPI assigned
- Aug 30, 2025
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | SP033565 | PA | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | 26NJ15420400 | NJ |
Addresses
Primary practice location
400 Lippincott Dr Ste 130
Marlton, NJ 08053-4161
Mailing address
400 Lippincott Dr Ste 130
Marlton, NJ 08053-4194
Phone (856) 596-2233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ15420400 | NJ | MD | Women's Health Nurse Practitioner |
| SP033565 | PA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Jersey Fertility, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Reproductive Endocrinology Physician
- Marlton, NJ
- NPI 1760367890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1902785256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 LIPPINCOTT DR STE 130",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534194",
"telephone_number": "856-596-2233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 LIPPINCOTT DR STE 130",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534161",
"telephone_number": "856-596-2233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKE",
"first_name": "MORGAN",
"middle_name": "ELLYSE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-30",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "PA",
"license": "SP033565",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NJ",
"license": "26NJ15420400",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.