Organization Active NPI

Joseph I. Lopez, M.D., P.C.

  • Orthopaedic Surgery Physician
  • Glen Cove, NY
National Provider Identifier
1124392857
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
1464481 Issued in NY
Legal business name
JOSEPH I. LOPEZ, M.D., P.C.
Practice address
10 Medical PLZ
Suite 103
Glen Cove, NY 11542-2101
Phone
(516) 671-4110
Fax
(516) 759-4069
NPI assigned
Feb 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Authorized official

Name
Joseph LopezNPI 1609947878
Title
President
Phone
(516) 671-4110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 1464481 NY Primary

Addresses

Primary practice location

10 Medical PLZ
Suite 103
Glen Cove, NY 11542-2101

Mailing address

10 Medical PLZ
Suite 103
Glen Cove, NY 11542-2101
Phone (516) 671-4110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120329000037 NY Part B Supplier - Clinic/Group Practice 5294995288 Receives reassigned benefits from 1 practitioner
Practice locations: Glen Cove, NY

National Provider Directory

National Provider Directory

Locations

10 Medical Plz
Ste 103
Glen Cove, NY 11542
Phone (516) 671-4110

86 Forest Ave
Ste 1C
Glen Cove, NY 11542
Phone (516) 671-4110

86 Forest Ave
Glen Cove, NY 11542

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1124392857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PLZ",
            "address_2": "SUITE 103",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422101",
            "telephone_number": "516-671-4110",
            "fax_number": "516-759-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PLZ",
            "address_2": "SUITE 103",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422101",
            "telephone_number": "516-671-4110",
            "fax_number": "516-759-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH I. LOPEZ, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-671-4110"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "1464481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.