Individual provider Active NPI

Judith Anne Lightfoot, D.O.

  • Infectious Disease Physician
  • Stratford, NJ
National Provider Identifier
1922046630
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MB66998 Issued in NJ
Practice address
42 E Laurel Rd Ste 3100-C
Stratford, NJ 08084-1354
Phone
(856) 566-7070
Fax
(856) 566-6906
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MB66998 NJ Primary

Addresses

Primary practice location

42 E Laurel Rd Ste 3100-C
Stratford, NJ 08084-1354

Mailing address

42 E Laurel Rd Ste 3100-C
Stratford, NJ 08084-1354
Phone (856) 566-7070

Other practice location 1

42 E Laurel Rd Ste 3100-A
Stratford, NJ 08084-1354
Phone (856) 566-7070

Other practice location 2

405 Hurffville Crosskeys Rd Ste 101
Sewell, NJ 08080-9340
Phone (856) 566-7070

Other identifiers 2

IdentifierTypeStateIssuer
440002295OtherNJRAILROAD MEDICARE
7612508MedicaidNJ

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jlightfoot248995@directvirtua.org
Direct Messaging Address jlightfoot248995@directvirtua.org
Direct Messaging Address jlightfoot248995@directvirtua.org

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
I20050831000525 NJ Practitioner - Infectious DiseasePractitioner - Internal Medicine 9830121771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

3242 Route 206
Bordentown, NJ 08505-4517

42 E Laurel Rd
Stratford, NJ 08084-1354

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB66998NJMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rowan Integrated Special Needs CurrentSince Aug 3, 2022 Accepting new patients
Virtua Medical Group, PA CurrentSince Jun 5, 2023 Accepting new patients
Virtua Medical Group, PA CurrentSince Jun 5, 2023 Accepting new patients
Rowansom Nmi Osteopathic Manipulative Medicine Past Accepting new patients
Rowansom Newjersey Institute for Successful Aging-Geriatric Psychiatry Past Accepting new patients
Kennedy Medical Group Practice, P.C. PastSince Jun 15, 2021 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

303 Lippincott Dr
Marlton, NJ 08053

550 Salina Rd
#D
Sewell, NJ 08080
Phone (856) 566-6406

405 Hurffville Crosskeys Rd
Ste 101
Sewell, NJ 08080
Phone (856) 218-0300

570 Egg Harbor Rd
Ste C2
Sewell, NJ 08080
Phone (856) 218-0300

42 E Laurel Rd
Ste 3100C
Stratford, NJ 08084
Phone (856) 566-7070

42 E Laurel Rd
Ste 3100
Stratford, NJ 08084
Phone (856) 566-2753

42 E Laurel Rd
Ste 3100A
Stratford, NJ 08084
Phone (856) 566-7070

Interoperability endpoints

  • Direct secure messaging: jlightfoot248995@directvirtua.org

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1922046630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 E LAUREL RD STE 3100-C",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841354",
            "telephone_number": "856-566-7070",
            "fax_number": "856-566-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E LAUREL RD STE 3100-C",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841354",
            "telephone_number": "856-566-7070",
            "fax_number": "856-566-6906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 E Laurel Rd Ste 3100-A",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "NJ",
            "postal_code": "080841354",
            "country_code": "US",
            "telephone_number": "856-566-7070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Hurffville Crosskeys Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080809340",
            "country_code": "US",
            "telephone_number": "856-566-7070",
            "fax_number": "856-582-7872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIGHTFOOT",
        "first_name": "JUDITH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "MB66998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "440002295",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7612508",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlightfoot248995@directvirtua.org",
            "affiliation": "N",
            "address_1": "42 E Laurel Rd Ste 3100-A",
            "city": "Stratford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080841354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlightfoot248995@directvirtua.org",
            "affiliation": "N",
            "address_1": "42 E Laurel Rd Ste 3100-C",
            "city": "Stratford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080841354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlightfoot248995@directvirtua.org",
            "affiliation": "N",
            "address_1": "405 Hurffville Crosskeys Rd Ste 101",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080809340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stratford, NJ

Sources for this page

Verify at the official NPI Registry.