Individual provider Active NPI

Jeffrey T Tokazewski, MD

  • Family Medicine Physician
  • Gibbsboro, NJ
National Provider Identifier
1932139094
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA72344 Issued in NJ
Practice address
63 N. Lakeview Dr
BLDG B, Ste 201
Gibbsboro, NJ 08026-1026
Phone
(856) 783-1777
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA72344 NJ Primary

Addresses

Primary practice location

63 N. Lakeview Dr
BLDG B, Ste 201
Gibbsboro, NJ 08026-1026

Mailing address

63 N. Lakeview Dr
BLDG B, Ste 201
Gibbsboro, NJ 08026-1026
Phone (856) 783-1777

Other identifiers 1

IdentifierTypeStateIssuer
8517606MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100513000109 NJ Practitioner - Family Practice 3870621790 Reassigns benefits to 1 organization
I20230413003053 PA Practitioner - Family Practice 3870621790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

1006 Mantua Pike
Woodbury, NJ 08097-1221

1020 Laurel Oak Rd
Suite 102
Voorhees, NJ 08043-3518
Phone (856) 783-1777

3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127

3400 Civic Ctr Blvd 2ND FLR W
Advanced Internal Med
Philadelphia, PA 19104-5127
Phone (215) 615-5252

3801 Filbert St Mab
102 Penn Center for Primary Care
Philadelphia, PA 19104-2640
Phone (215) 662-9990

51 N 39TH St
Philadelphia, PA 19104-2640
Phone (215) 662-9436

51 N 39TH Street Mab
Philadelphia, PA 19104-2640
Phone (215) 662-9990

51 N 39TH Stret
Hospital Med Presby
Philadelphia, PA 19104-2640
Phone (215) 662-9990

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA72344NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. Family Medicine CurrentSince Jul 15, 2001 Accepting new patients
University of Penn-Medical Group CurrentSince Dec 30, 2022 Accepting new patients
University of Penn - Medical Group Current Accepting new patients
University of Penn - Medical Group CurrentSince Dec 30, 2022 Accepting new patients

Locations

1400 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 216-0300

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

63 N Lakeview Dr
Ste 201
Gibbsboro, NJ 08026
Phone (856) 783-1777

1020 Laurel Oak Rd
Ste 102
Voorhees, NJ 08043
Phone (856) 435-8842

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311

3400 Civic Center Blvd
Fl 2
Philadelphia, PA 19104

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

Organizations & group practices 4

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1932139094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 N. LAKEVIEW DR",
            "address_2": "BLDG B, STE 201",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261026",
            "telephone_number": "856-783-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 N. LAKEVIEW DR",
            "address_2": "BLDG B, STE 201",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261026",
            "telephone_number": "856-783-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOKAZEWSKI",
        "first_name": "JEFFREY",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA72344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8517606",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibbsboro, NJ

Sources for this page

Verify at the official NPI Registry.