MR. IVAN RAFAEL LOCKWARD JR. MD, MPH
NPI 1922589480
Internal Medicine in Runnemede, NJ

Active since August 23, 2018PECOS EnrolledAccepts Medicare Assignment
20 S BLACK HORSE PIKE, RUNNEMEDE, NJ 08078(856) 962-8840 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2025, Oct 1, 2021, Aug 23, 2018 (3 updates tracked since 2018).

About Mr. Ivan Rafael Lockward Jr. Md, Mph NPPES

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

MR. IVAN RAFAEL LOCKWARD JR. MD, MPH (NPI 1922589480) is an individual internal medicine provider in Runnemede, New Jersey, licensed in New Jersey (25MA12662800) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1922589480
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. IVAN RAFAEL LOCKWARD JR.Credential: MD, MPH
Location Address20 S BLACK HORSE PIKERunnemede, NJ 08078-1901
Mailing Address1 Federal St Ste 200Camden, NJ 08103-1088 · (848) 288-6935 · Fax (732) 790-0107
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 23, 2018
Last NPPES UpdateJune 3, 20253 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
NPI 1922589480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in NJ · 25MA12662800 Licensed in PR · 33783R
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.
20 S BLACK HORSE PIKE, Runnemede, NJ 08078

Secondary Practice Location 1

Location 1401-55 W Allegheny AvenuePhiladelphia, PA 19133 · Phone (215) 291-2500 · Fax (215) 291-2587

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

Mr. Ivan Rafael Lockward Jr. Md, Mph 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 ID2567869498
PECOS Enrollment IDI20250606002711
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.

Hospital Affiliations CMS Care Compare

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

Cooper University Hospital

Acute Care Hospitals · Camden, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310014
Location1 Cooper PlazaCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08078 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 3

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

Emergency Medicine
20 S BLACK HORSE PIKE
RUNNEMEDE, NJ 08078
Nurse Practitioner (Family)
20 S BLACK HORSE PIKE
RUNNEMEDE, NJ 08078
Family Medicine
20 S BLACK HORSE PIKE
RUNNEMEDE, NJ 08078

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 Ivan Lockward's NPI number?

The NPI number for Ivan Lockward is 1922589480. It was assigned to this individual provider in the NPPES registry on August 23, 2018.

Where is Ivan Lockward located?

Ivan Lockward practices at 20 S Black Horse Pike, Runnemede, NJ 08078. The listed phone number is (856) 962-8840.

What is Ivan Lockward's specialty?

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

Is Ivan Lockward enrolled in Medicare?

Yes. Ivan Lockward 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.

Is Ivan Lockward affiliated with any hospitals?

According to CMS data, Ivan Lockward is affiliated with Cooper University Hospital.

When was this NPI record last updated?

The NPPES record for Ivan Lockward was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.