Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jordan L Lastra, MD

Individual provider Internal Medicine Physician · NPI 1396314100

Dr. Jordan L Lastra, MD is an Internal Medicine in Camden, New Jersey. Qualified in 2021, 5 years ago. Practices with Virtua Medical Group, PA, a 1,669-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1600 Haddon Ave Fl 6
Camden, NJ 08103-3101
Phone: (856) 757-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 90 Brick Rd Fl 3, Marlton, NJ 08053-2177 — (856) 355-6000
  • 175 Madison Ave Fl 1, Mount Holly, NJ 08060-2038 — (609) 914-6000
  • 100 Bowman Dr Lowr Level1, Voorhees, NJ 08043-9612 — (856) 247-3000
  • 218 Sunset Rd Fl 5, Willingboro, NJ 08046-1110 — (609) 444-0359

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MT222893 (PA)

Record details

NPI number1396314100
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2021
Last updated in NPPESNovember 22, 2024
Certification dateNovember 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Virtua Medical Group, Pa — 1669 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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