Marco Antonio Lopez, D.C.

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

38MC00673900 Issued in NJ

Practice address

1187 Main Ave Ste 1D
Clifton, NJ 07011-2252

Phone

(973) 742-0927

Fax

(888) 373-2114

NPI assigned

Apr 3, 2010

Last updated

May 4, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Spine Specialist

  • Neurology Chiropractor
  • Clifton, NJ
  • NPI 1407165111
  Medicare reassignment NPD Authorized official
• North Jersey Electrodiagnostics

  • Electrodiagnostic Medicine Physician
  • Clifton, NJ
  • NPI 1710318175
  Authorized official Same address or phone
• Spinal Solutions

  • Neurology Chiropractor
  • Clifton, NJ
  • NPI 1093179137
  Authorized official Same address or phone

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

{
    "created_epoch": "1270252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1073838991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7036",
            "address_2": "SUITE 105",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070527036",
            "telephone_number": "973-742-0927",
            "fax_number": "888-373-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 MAIN AVE STE 1D",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112252",
            "telephone_number": "973-742-0927",
            "fax_number": "888-373-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-03",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NY",
            "license": "X0116921",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NJ",
            "license": "38MC00673900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Llewellyn, RD,CDE
• Shari-Kristin Lo-Rhoden, PSYD
• Lodi Medical Center
• Ana Lopez, SPED
• Emanuel Lopez, APN
• Melissa Andrea Lopez, MSW, LSW
• Elizabeth Los
• Lotus Psychotherapy Services LLC
• Kem B Louie, APN
• Matthew Louie

• Neurology Chiropractor in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Neurology Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.