Individual provider Active NPI

George Abel Lopez, P A- C

  • Physician Assistant
  • Bronx, NY
National Provider Identifier
1205972718
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
005754 Issued in NY
Practice address
553 E Fordham Rd
Bronx, NY 10458-5046
Phone
(917) 715-2244
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 005754 NY Primary

Addresses

Primary practice location

553 E Fordham Rd
Bronx, NY 10458-5046

Mailing address

553 E Fordham Rd
Bronx, NY 10458-5046
Phone (917) 715-2244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100323000660 NY Practitioner - Physician Assistant 8224163720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenberg Medical Services PCGroup PAC ID 3971864489, 4 clinicians

Practice addresses (Care Compare)

160 Crossways Park Dr
Woodbury, NY 11797-2028
Phone (516) 364-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greenberg Medical Services PC CurrentSince Oct 28, 2025 Accepting new patients
Stephen T. Greenberg MD PC Past Accepting new patients
Southside Hospital Past Accepting new patients

Locations

222 E Middle Country Rd
Ste 228
Smithtown, NY 11787
Phone (631) 265-1351

160 Crossways Park Dr
Woodbury, NY 11797
Phone (516) 364-4200

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: galopez@directaddress.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382918400000",
    "number": "1205972718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585046",
            "telephone_number": "917-715-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585046",
            "telephone_number": "917-715-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "GEORGE",
        "middle_name": "ABEL",
        "credential": "P A- C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "005754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.