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JUDITH SOUSA M.D.
NPI 1558623181
Pediatrics in Lakewood, NJ

Active since June 11, 2012PECOS EnrolledAccepts Medicare Assignment
101 2ND ST, LAKEWOOD, NJ 08701(732) 363-6655(732) 363-6656 Get Directions Write a Review

NPPES record last updated: April 10, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Judith Sousa M.d. NPPES

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

JUDITH SOUSA M.D. (NPI 1558623181) is an individual pediatrics provider in Lakewood, New Jersey, licensed in New Jersey (25MA09084100) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of New York Medical College (2009).

NPPES Registry Identity

NPI1558623181
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJUDITH SOUSACredential: M.D.
Location Address101 2ND STLakewood, NJ 08701-3324
Mailing Address101 2nd StLakewood, NJ 08701-3324 · (732) 363-6655 · Fax (732) 363-6656
Phone(732) 363-6655
Fax(732) 363-6656
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2009
Enumeration DateJune 11, 2012
Last NPPES UpdateApril 10, 2019
✔ NPI 1558623181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA09084100
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
101 2ND ST, Lakewood, NJ 08701
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Other Names 1

Former Name (1)Judith Lorenzo Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Judith Sousa 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 ID9032375076
PECOS Enrollment IDI20120719000409
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.

Medicare Billing Reassignment

Medicare enrollment records show Judith Sousa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ocean Health Initiatives Inc
Same address
Federally Qualified Health Center (FQHC)
101 2ND ST
Lakewood, NJ 08701
  • Reassigned Medicare billing, New Jersey enrollment
  • 130 clinicians in this Medicare group
NPI 1043306574 (732) 363-6655

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08701 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%20 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%30 patients5/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
97%634 patients5/55-star benchmark: 96%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 94% · 2,061 patients
Patients physicalActivity: 94% · 2,061 patients
100%2,053 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

YULIYA BILAN YU
Nurse Practitioner (Pediatrics)
101 2ND ST
LAKEWOOD, NJ 08701
Ocean County (732) 363-6655
DR. DEBORAH E BROWN DMD
Dentist
101 2ND ST
LAKEWOOD, NJ 08701
Ocean County (732) 363-6655
OCEAN HEALTH INITIATIVES INC
Clinic/Center (Federally Qualified Health Center (FQHC))
101 2ND ST
LAKEWOOD, NJ 08701
Ocean County (732) 363-6655
PRIYA R LAD R.N., CPNP
Nurse Practitioner (Pediatrics)
101 2ND ST
LAKEWOOD, NJ 08701
Ocean County (732) 363-6655
MR. GILBERT E FLEISCHER MD
Pediatrics
101 2ND ST
LAKEWOOD, NJ 08701
Ocean County (732) 363-6655
JOHN MOON
Dentist (General Practice)
101 2ND ST
LAKEWOOD, NJ 08701
Ocean County (732) 363-6655
ROSILY PHILIP APN
Nurse Practitioner (Family)
101 2ND ST
LAKEWOOD, NJ 08701
Ocean County (732) 363-6655
MRS. JESSICA ELIZABETH SORRENTINO APN
Nurse Practitioner (Adult Health)
101 2ND ST
LAKEWOOD, NJ 08701
Ocean County (732) 363-6655

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 Judith Sousa's NPI number?

The NPI number for Judith Sousa is 1558623181. It was assigned to this individual provider in the NPPES registry on June 11, 2012. The provider is also known as Judith Lorenzo MD.

Where is Judith Sousa located?

Judith Sousa practices at 101 2nd St, Lakewood, NJ 08701. The listed phone number is (732) 363-6655.

What is Judith Sousa's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Judith Sousa enrolled in Medicare?

Yes. Judith Sousa 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.

Which organization bills Medicare for Judith Sousa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Judith Sousa reassigns Medicare benefits to Ocean Health Initiatives Inc (Lakewood, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Judith Sousa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Judith Sousa accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Judith Sousa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Judith Sousa was last updated on April 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.