Active NPI
Patricia Ann Lopez, MS.ED.
- Contractor
- Oakdale, NY
National Provider Identifier
1063777258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 535961941
- Practice address
- 135 Lincoln Dr
Oakdale, NY 11769-2133 - Phone
- (631) 244-6909
- NPI assigned
- Jul 12, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 535961941 | NY | Primary |
Addresses
Primary practice location
135 Lincoln Dr
Oakdale, NY 11769-2133
Mailing address
135 Lincoln Dr
Oakdale, NY 11769-2133
Phone (631) 244-6909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 535961941 | NY | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342051200000",
"number": "1063777258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 LINCOLN DR",
"city": "OAKDALE",
"state": "NY",
"postal_code": "117692133",
"telephone_number": "631-244-6909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 LINCOLN DR",
"city": "OAKDALE",
"state": "NY",
"postal_code": "117692133",
"telephone_number": "631-244-6909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "PATRICIA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MS.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-12",
"last_updated": "2012-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NY",
"license": "535961941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.