Individual provider Active NPI

Yadira Lopez, FNP-BC

  • Family Nurse Practitioner
  • Mullica Hill, NJ
National Provider Identifier
1053055087
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01302700 Issued in NJ
Practice address
698 Mullica Hill Rd FL 3
Mullica Hill, NJ 08062-4452
Phone
(856) 508-3708
NPI assigned
Apr 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01302700 NJ Primary

Addresses

Primary practice location

698 Mullica Hill Rd FL 3
Mullica Hill, NJ 08062-4452

Mailing address

698 Mullica Hill Rd FL 3
Mullica Hill, NJ 08062-4452
Phone (856) 508-3708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220624001655 NJ Practitioner - Nurse Practitioner 5991184772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians

Practice addresses (Care Compare)

698 Mullica Hill Rd
Suite 320
Mullica Hill, NJ 08062-4453
Phone (856) 508-3708

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Health Network Medical Group, P.C. CurrentSince Jun 1, 2022 Accepting new patients
Evernear Healthcare Services LLC CurrentSince May 1, 2022 Accepting new patients

Locations

1120 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 205-7071

698 Mullica Hill Rd
Fl 3
Mullica Hill, NJ 08062
Phone (856) 508-3706

698 Mullica Hill Rd
Ste 320
Mullica Hill, NJ 08062
Phone (856) 508-3708

698 Mullica Hill Rd
Bldg 3
Mullica Hill, NJ 08062
Phone (856) 508-3708

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1053055087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "698 MULLICA HILL RD FL 3",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080624452",
            "telephone_number": "856-508-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 MULLICA HILL RD FL 3",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080624452",
            "telephone_number": "856-508-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "YADIRA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01302700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

Verify at the official NPI Registry.