Provider Demographics
NPI:1033235262
Name:LINCROFT MEDICAL ASSOCIATES, LLC
Entity Type:Organization
Organization Name:LINCROFT MEDICAL ASSOCIATES, LLC
Other - Org Name:LMA HEMATOLOGY & ONCOLOGY GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADEL
Authorized Official - Middle Name:
Authorized Official - Last Name:IBRAHIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-530-9200
Mailing Address - Street 1:654 NEWMAN SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:LINCROFT
Mailing Address - State:NJ
Mailing Address - Zip Code:07738-1744
Mailing Address - Country:US
Mailing Address - Phone:732-530-9200
Mailing Address - Fax:732-530-8820
Practice Address - Street 1:551 NEWMAN SPRINGS RD UNIT 1
Practice Address - Street 2:
Practice Address - City:LINCROFT
Practice Address - State:NJ
Practice Address - Zip Code:07738-1473
Practice Address - Country:US
Practice Address - Phone:732-530-9200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA053869207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF57584Medicare UPIN