Tishna M Lopez, NYCPS4786

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

225 Beach 28TH St Unit 1
Far Rockaway, NY 11691-2293

Phone

(718) 877-2153

NPI assigned

Mar 17, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1073313391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BEACH 28TH ST UNIT 1",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912293",
            "telephone_number": "718-877-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BEACH 28TH ST UNIT 1",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912293",
            "telephone_number": "718-877-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "TISHNA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "NYCPS4786",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelina Lombardo
• Eric Londregan, LMSW
• Long Island Hebrew Living Center
• Long Island Living Center, LLC
• Long Island Ophthalmology & Eye Surgery, P. C.
• Victor Lopez Jr., D.O.
• Monique Malka Lopiansky, MA
• Sawat Losoponkul, MD
• Manouchka Louis
• Candi Anekia Lowe

• Peer Specialist in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.