Nicanor C. Lopez, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD037726L Issued in PA

Practice address

1736 Brittany Drive
Maple Glen, PA 19002

Phone

(609) 345-4000

NPI assigned

Aug 28, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Atlantic Emergency Associates, PA

  • Emergency Medicine Physician
  • Atlantic City, NJ
  • NPI 1124112768
  NPD (past)
• Emergency Physicians of Saint Clares LLC

  • Emergency Medicine Physician
  • Denville, NJ
  • NPI 1366517856
  NPD (past)
• Leeds Emergency Physicians

  • Emergency Medicine Physician
  • Atlantic City, NJ
  • NPI 1326248667
  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1245348416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 BRITTANY DRIVE",
            "city": "MAPLE GLEN",
            "state": "PA",
            "postal_code": "19002",
            "telephone_number": "440-717-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 BRITTANY DRIVE",
            "city": "MAPLE GLEN",
            "state": "PA",
            "postal_code": "19002",
            "telephone_number": "609-345-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "NICANOR",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA03604500",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD037726L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0368398000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5114306",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60018874",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Kazey Laurito, DDS
• Lee's Acupuncture & Herbs, Inc.
• Rachel Lisa Lewin, DDS
• Lingling Li
• Taeho Christopher Lim
• Christina Lorenzo, OTR/L
• Jean Marie Mackinlay, COTA/L
• Maple Glen Childrens Dentistry, P.C.
• Suzanne Patricia McCartney, CRNA
• William Read McElroy, RPH

• Family Medicine Physician in Maple Glen, PA
• Providers in Maple Glen, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.