87TH MEDGRP-JB MCGUIRE-DIX-LAKEHURST
NPI 1881650141
Clinic/Center - Military/U.S. Coast Guard Outpatient in Mc Guire Afb, NJ

Active since April 25, 2006
3458 NEELY RD, MDSS SGSBR, MC GUIRE AFB, NJ 08641(609) 754-9658(609) 754-9541 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 17, 2025, Jun 12, 2025, May 29, 2025 (3 updates tracked since 2025).

  • Organization
  • Clinic/Center
  • Military/U.S. Coast Guard Outpatient

About 87TH MEDGRP-JB MCGUIRE-DIX-LAKEHURST

This page provides the complete NPI Profile along with additional information for 87th Medgrp-jb Mcguire-dix-lakehurst, a provider established in Mc Guire Afb, New Jersey operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1881650141 assigned on April 2006. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Jen Lewandowski (Dha Ubo)

NPI
1881650141 Verify this NPI
Provider Name
87TH MEDGRP-JB MCGUIRE-DIX-LAKEHURST
Other Name Type
(6)
Entity Type
Organization
Location Address
3458 NEELY RD MDSS SGSBR MC GUIRE AFB, NJ 08641
Location Phone
(609) 754-9658
Location Fax
(609) 754-9541
Mailing Address
3458 NEELY RD MDSS SGSBR MC GUIRE AFB, NJ 08641
Mailing Phone
(609) 754-9658
Mailing Fax
(609) 754-9541
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-25-2006
Last Update Date
06-17-2025
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Military/U.S. Coast Guard Outpatient

Taxonomy Code
261QM1100X
Type
Ambulatory Health Care Facilities
Taxonomy Description
The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM1101XAmbulatory Health Care Facilities

Clinic/Center
Military and U.S. Coast Guard Ambulatory Procedure

 
2332000000XSuppliers

Military/U.S. Coast Guard Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEN LEWANDOWSKI

Authorized Official Title
DHA UBO
Authorized Official Phone
(703) 817-4030

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
31-41847OTHER (01)NJNCPDP

Reviews for 87TH MEDGRP-JB MCGUIRE-DIX-LAKEHURST

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapist
3458 NEELY RD, 305TH MEDICAL GROUP
MCGUIRE AIR FORCE BASE, NJ 08641
Physical Therapist
3458 NEELY RD
MC GUIRE AFB, NJ 08641
Nurse Practitioner (Family)
3458 NEELY RD
MC GUIRE AFB, NJ 08641
Military Health Care Provider (Independent Duty Medical Technicians)
3458 NEELY RD
MCGUIRE AFB, NJ 08641
Military Health Care Provider (Independent Duty Medical Technicians)
3458 NEELY RD
MCGUIRE AFB, NJ 08641
Social Worker (Clinical)
3458 NEELY RD
MC GUIRE AFB, NJ 08641
Psychologist
3458 NEELY RD
TRENTON, NJ 08641
Nurse Practitioner (Family)
3458 NEELY RD
TRENTON, NJ 08641
Military Health Care Provider (Independent Duty Medical Technicians)
3458 NEELY RD
JB MDL, NJ 08641
Social Worker
3458 NEELY RD
JB MDL, NJ 08641
General Practice
3458 NEELY RD
MC GUIRE AFB, NJ 08641
Family Medicine
3458 NEELY RD
JOINT BASE MDL, NJ 08641
Pharmacist
3458 NEELY RD
JOINT BASE MDL, NJ 08641
Physical Therapist
3458 NEELY RD
JB MDL, NJ 08641
Pharmacist
3458 NEELY RD
JOINT BASE MDL, NJ 08641
Nurse Practitioner (Family)
3458 NEELY RD
JB MDL, NJ 08641
Psychologist (Clinical)
3458 NEELY RD
JOINT BASE MDL, NJ 08641
Dentist (General Practice)
3458 NEELY RD
JB MDL, NJ 08641
Dentist (Periodontics)
3458 NEELY RD
JB MDL, NJ 08641
Dentist (Prosthodontics)
3458 NEELY RD
JB MDL, NJ 08641

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881650141, enumerated as an "organization" on April 25, 2006.

The provider is located at 3458 NEELY RD MDSS SGSBR MC GUIRE AFB, NJ 08641 and the phone number is (609) 754-9658.

Clinic/Center with taxonomy code 261QM1100X and a focus in Military/U.S. Coast Guard Outpatient.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.