LOURDES MEDICAL ASSOCIATES RADIATION THERAPY – NPI #1255856423
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

LOURDES MEDICAL ASSOCIATES RADIATION THERAPY is a radiologist located in WILLINGBORO, NJ. NPPES has assigned the NPI number 1255856423 to LOURDES MEDICAL ASSOCIATES RADIATION THERAPY on August 09, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LOURDES MEDICAL ASSOCIATES RADIATION THERAPY” is a dba name, the actual legal business name for this organization is LOURDES MEDICAL ASSOCIATES, PA. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 3 years ago on Sep 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LOURDES MEDICAL ASSOCIATES RADIATION THERAPY below.

NPI Profile for
LOURDES MEDICAL ASSOCIATES, PA

NPI Number
1255856423
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LOURDES MEDICAL ASSOCIATES, PA
Doing Business As (dba): LOURDES MEDICAL ASSOCIATES RADIATION THERAPY
Primary location
220 SUNSET RD STE 4
WILLINGBORO, NJ 08046-1126
Phone: (609) 877-3064 Fax: (609) 877-2466
1 Other location(s):
601 Hamilton Ave
Trenton, NJ 08629-1915
Phone: (609) 877-3067
Fax: (609) 877-2466
Mailing address
500 GROVE ST STE 100
HADDON HEIGHTS, NJ 08035-1761
Phone: (856) 796-9200 Fax: (856) 796-9397
Organization Subpart
Yes - LOURDES MEDICAL ASSOCIATES RADIATION THERAPY is subpart of another organization.
Authorized Official
STEVEN FOX
PRESIDENT
Phone: (856) 796-9200
Updated
Identifiers

Identifiers for LOURDES MEDICAL ASSOCIATES RADIATION THERAPY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNJ6535704
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0001X
- Radiology / Radiation Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.