Provider Demographics
NPI:1356354575
Name:RICHARD M. LAWINSKI MD PA
Entity type:Organization
Organization Name:RICHARD M. LAWINSKI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:LAWINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-463-1000
Mailing Address - Street 1:9 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-1937
Mailing Address - Country:US
Mailing Address - Phone:609-463-1000
Mailing Address - Fax:
Practice Address - Street 1:9 BROADWAY
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-1937
Practice Address - Country:US
Practice Address - Phone:609-463-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MAO3888400208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0073301000OtherAMERIHEALTH
NJF13496OtherTRICARE HEALTHNET
NJP393386OtherOXFORD
NJ0062100OtherAETNA
NJ020030654OtherRAILROAD MEDICARE
NJ1036425OtherHORIZON MERCY
NJ4901401Medicaid
NJ=========OtherUNITED HEALTHCARE
NJ1036425OtherHORIZON MERCY
NJ=========OtherHORIZON
NJ0062100OtherAETNA
NJ=========OtherKEYSTONE
NJ=========OtherUNITED HEALTHCARE