DR. JUSTIN LAWRENCE LOCKMAN M.D.
NPI 1114065497
Pediatrics - Pediatric Critical Care Medicine in Philadelphia, PA

Active since February 01, 2007PECOS EnrolledAccepts Medicare Assignment
3401 CIVIC CENTER BLVD STE 9329, PHILADELPHIA, PA 19104(215) 590-1858(215) 590-1415 Get Directions Write a Review

NPPES record last updated: December 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Justin Lawrence Lockman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUSTIN LAWRENCE LOCKMAN M.D. (NPI 1114065497) is an individual pediatric critical care medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD442301) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in King Of Prussia, and is a graduate of Vanderbilt University School Of Medicine (2003).

NPPES Registry Identity

NPI1114065497
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. JUSTIN LAWRENCE LOCKMANCredential: M.D.
Location Address3401 CIVIC CENTER BLVD STE 9329Philadelphia, PA 19104-4319
Mailing Address3401 Civic Center Blvd Ste 9329Philadelphia, PA 19104-4319 · (215) 590-1858 · Fax (267) 425-9331
Fax(215) 590-1415
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2003
Enumeration DateFebruary 1, 2007
Last NPPES UpdateDecember 28, 2022
NPPES CertifiedDecember 28, 2022
NPI 1114065497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in PA · MD442301
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedAnesthesiology · Pediatric AnesthesiologyTaxonomy 207LP3000X · License MD442301 (PA)
3401 CIVIC CENTER BLVD STE 9329, Philadelphia, PA 19104

Secondary Practice Location 1

Location 1550 S Goddard BlvdKing Of Prussia, PA 19406-2922 · Phone (610) 337-3232

Other Identifiers 2

Other221556EMDPA · Medicare Ptan
Medicaid1025929790001PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Justin Lawrence Lockman M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638347156
PECOS Enrollment IDI20110727000259
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology (Pediatric Anesthesiology)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Critical Care Medicine)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Critical Care Medicine)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Nurse Anesthetist, Certified Registered
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Anesthesiology (Pediatric Anesthesiology)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Critical Care Medicine)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Critical Care Medicine)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Critical Care Medicine)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Lockman's NPI number?

The NPI number for Justin Lockman is 1114065497. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Justin Lockman located?

Justin Lockman practices at 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104. The listed phone number is (215) 590-1858.

What is Justin Lockman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Justin Lockman enrolled in Medicare?

Yes. Justin Lockman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Justin Lockman was last updated on December 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.