DR. JORDAN L LASTRA MD
NPI 1396314100
Internal Medicine in Camden, NJ

Q: What is Jordan Lastra's NPI number?

The NPI number for Jordan Lastra is 1396314100. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Q: What is Jordan Lastra's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Lastra was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since June 24, 2021PECOS EnrolledAccepts Medicare Assignment

1600 HADDON AVE FL 6, CAMDEN, NJ 08103(856) 757-3500 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2024, Jun 24, 2021 (2 updates tracked since 2021).

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About Dr. Jordan L Lastra Md NPPES

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

DR. JORDAN L LASTRA MD (NPI 1396314100) is an individual internal medicine provider in Camden, New Jersey, licensed in Pennsylvania (MT222893) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1396314100

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JORDAN L LASTRACredential: MD

Location Address1600 HADDON AVE FL 6Camden, NJ 08103-3101

Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 355-0340

Phone(856) 757-3500

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 24, 2021

Last NPPES UpdateNovember 22, 20242 updates tracked since enumeration

NPPES CertifiedNovember 22, 2024

✔ NPI 1396314100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MT222893

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1600 HADDON AVE FL 6, Camden, NJ 08103

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Secondary Practice Locations 4

Location 190 Brick Rd Fl 3Marlton, NJ 08053-2177 · Phone (856) 355-6000

Location 2175 Madison Ave Fl 1Mount Holly, NJ 08060-2038 · Phone (609) 914-6000

Location 3100 Bowman Dr Lowr Level1Voorhees, NJ 08043-9612 · Phone (856) 247-3000

Location 4218 Sunset Rd Fl 5Willingboro, NJ 08046-1110 · Phone (609) 444-0359

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. Jordan L Lastra Md 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 ID7911309075

PECOS Enrollment IDI20240822001904

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

234 services97 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

70 services68 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

52 services24 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310022

Location100 Bowman DriveVoorhees, NJ 08043 · Camden County

Emergency services Birthing friendly

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ

1/5 CMS rating

OwnershipGovernment - State

CMS Certification Number310029

Location1600 Haddon AvenueCamden, NJ 08103 · Camden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$140.34 typical visit price

range $61.59 – $185.05

Typical copayment $35.08 (range $15.39 – $46.26)

Most-billed visit code 99204

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SIVAKOTI NAGIREDDY GUDA M.D

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