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

Lukasz Polisiakiewicz, DO

Individual provider Internal Medicine Physician · NPI 1295033819

Lukasz Polisiakiewicz, DO is a Pulmonary Disease in Marlton, New Jersey. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2011, 15 years ago. Practices with Virtua Medical Group, PA, a 1,669-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan and New Jersey.

Years since qualifying
15
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
MI, NJ
In the registry since
2011
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

141 Route 70 E Ste B
Marlton, NJ 08053-1855
Phone: (856) 596-9057
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 107 Berlin Rd, Cherry Hill, NJ 08034-3526 — (856) 429-1800
  • 401 Young Ave Ste 165, Moorestown, NJ 08057-3131 — (856) 235-4656
  • 412 Ewan Rd Ste E2, Mullica Hill, NJ 08062-3707 — (856) 596-9051
  • 239 Hurffville Crosskeys Rd Ste 450, Sewell, NJ 08080-4009 — (856) 341-8390

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 25MB10015800 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 5101019425 (MI)

Record details

NPI number1295033819
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 6, 2011
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024
Mailing address301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Also practisesINTERNAL MEDICINE
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2011 (15 years in practice)
Group practice Virtua Medical Group, Pa — 1669 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations11 on file with Medicare

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