Ivan Rafael Lockward Jr., MD, MPH

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA12662800 Issued in NJ

Practice address

20 S Black Horse Pike
Runnemede, NJ 08078-1901

Phone

(856) 962-8840

NPI assigned

Aug 23, 2018

Sex

Male

Sole proprietor

Yes

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.

• Cooper Family Medicine, PC

  • Family Medicine Physician
  • Cherry Hill, NJ
  • NPI 1649217175

  NJ

  Medicare reassignment Care Compare group NPD
• Delaware Valley Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1386864502

  PA

  Medicare reassignment NPD
• Cooper Family Medicine PC

  • Family Medicine Physician
  • Moorestown, NJ
  • NPI 1093929895
  Care Compare group NPD
• Cooper Family Medicine PC

  • Family Medicine Physician
  • Woodbury, NJ
  • NPI 1568665594
  Care Compare group
• Delaware Valley Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1235956921
  NPD
• Ayala Troche, MD, C.S.P.

  • Medical Specialty Clinic/Center
  • San German, PR
  • NPI 1518569136
  NPD (past)
• Delaware Valley Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sharon Hill, PA
  • NPI 1295279644
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Pennsauken, NJ
  • NPI 1275580615
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Moorestown, NJ
  • NPI 1366716565
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Woodbury, NJ
  • NPI 1710284005
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Egg Harbor Township, NJ
  • NPI 1790730109
  Care Compare affiliation
• Holy Redeemer Home Care, Inc.

  • Home Health Agency
  • Runnemede, NJ
  • NPI 1730153479
  Care Compare affiliation
• Jeffhome NJ, LLC.

  • Home Health Agency
  • Voorhees, NJ
  • NPI 1689321960
  Care Compare affiliation
• The Cooper Health System

  • Land Ambulance
  • Camden, NJ
  • NPI 1174976724

  Hospital

  Care Compare affiliation
• The Cooper Health System

  • General Acute Care Hospital
  • Camden, NJ
  • NPI 1568442309

  Hospital

  Care Compare affiliation

Specialty

Internal Medicine

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cooper Family Medicine PC 117 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care, Inc Home health agency, Pennsauken, NJ, CCN 317065
• Jefferson Health at Home by Bayada Home health agency, Voorhees, NJ, CCN 317073
• Holy Redeemer Home Care NJ South Home health agency, Runnemede, NJ, CCN 317025
• Cooper University Hospital Hospital, Camden, NJ, CCN 310014

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ivan.lockward.p1@direct.dvch.nextgenshare.com
• Direct secure messaging: ilockward316284@direct.cooperhealth.edu

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 3, 2025.

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1922589480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935",
            "fax_number": "732-790-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S BLACK HORSE PIKE",
            "city": "RUNNEMEDE",
            "state": "NJ",
            "postal_code": "080781901",
            "telephone_number": "856-962-8840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401-55 W Allegheny Avenue",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19133",
            "country_code": "US",
            "telephone_number": "215-291-2500",
            "fax_number": "215-291-2587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKWARD",
        "first_name": "IVAN",
        "middle_name": "RAFAEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-23",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "33783R",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA12662800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zenaida Serrano Kirkland, LPC, LCADC
• William Laplant, M.D.
• Robert S. Leavy, RPH
• Liberty Dialysis-Runnemede LLC
• Ellen R Little, FNP-C
• Nicholas Ma
• Esther Malave, MD
• Debra McMire, MSN FNPC
• Kyrie McNeill
• Medexpress Urgent Care - New Jersey, Inc.

• All providers in Runnemede, NJ
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.