Active NPIIndividual providerSole proprietor

Mr. Ivan R Lockward Jr., MD, MPH

Internal Medicine in Runnemede, New Jersey

NPI Number1922589480
Practice location
20 S Black Horse Pike, Runnemede, NJ 08078-1901
Fax
—
Last updated
June 3, 2025

Ivan Rafael Lockward is an Internal Medicine based in Runnemede, NJ. Ivan Rafael Lockward practices in Runnemede, NJ and has the professional credentials of MD, MPH. The NPI Number for Ivan Rafael Lockward is 1922589480 and holds a License No. 33783r (PR). The current practice location address for Ivan Rafael Lockward is 20 S Black Horse Pike, Runnemede, NJ 08078-1901 and can be reached out via phone at 856-962-8840.

Provider Profile Details

NPI Number
1922589480
Provider Name
Ivan Rafael Lockward
Credential
MD, MPH
Provider Entity Type
Individual
Gender
Male
Address
20 S Black Horse Pike, Runnemede, NJ 08078-1901
Phone Number
856-962-8840
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 23, 2018
Last Update Date
June 3, 2025
Certification Date
June 3, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 S Black Horse Pike
Runnemede, NJ 08078-1901
Zip
08078-1901
Phone Number
856-962-8840
Runnemede, NJ 08078Get directions →

Provider Business Mailing Address Details

Address
1 Federal St Ste 200
Camden, NJ 08103-1088
City
Camden
State
NJ
Zip
08103-1088
Phone Number
848-288-6935
Fax Number
732-790-0107

License Information

License Number (1)
33783r
License State (1)
PR
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
25MA12662800
License State (2)
NJ
Taxonomy (2)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Ivan R Lockward Jr., MD, MPH?

The NPI number of Mr. Ivan R Lockward Jr., MD, MPH is 1922589480. It was assigned on August 23, 2018 and is currently active in the NPPES registry.

What is the specialty of Mr. Ivan R Lockward Jr., MD, MPH?

Mr. Ivan R Lockward Jr., MD, MPH is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in PR under license number 33783r.

Where does Mr. Ivan R Lockward Jr., MD, MPH practice?

The practice location is 20 S Black Horse Pike, Runnemede, NJ 08078-1901. The office can be reached at 856-962-8840 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922589480 directly on the NPPES registry website.

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