Julissa Lopez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

348470 Issued in NY

Practice address

66 W Gilbert St
Tinton Falls, NJ 07701-4947

Phone

(732) 212-0060

NPI assigned

Dec 20, 2021

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Park Hill Emergency Physician ServicesGroup PAC ID 5395057020, 15 clinicians

Divinity Medical Services PLLCGroup PAC ID 5193030245, 92 clinicians

La Casa de Salud IncGroup PAC ID 6103913835, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

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

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.

• Divinity Medical Services PLLC

  • Urgent Care Clinic/Center
  • Yorktown Heights, NY
  • NPI 1497159560

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• La Casa de Salud Inc.

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1548260870

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Park Hill Emergency Physician Services

  • Emergency Medicine Physician
  • Yonkers, NY
  • NPI 1396123360

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Salubrity Family Health NP PC

  • Family Nurse Practitioner
  • Yonkers, NY
  • NPI 1457231466

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Urgent Care Physician of New York-Hartsdale PLLC

  • Urgent Care Clinic/Center
  • Bronx, NY
  • NPI 1770885808

  Multi-Specialty

  Medicare reassignment NPD
• La Casa de Salud, Inc

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1326493982
  NPD
• La Casa de Salud, Inc

  • Multi-Specialty Clinic/Center
  • Bronx, NY
  • NPI 1407225956
  NPD

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740182400000",
    "number": "1326708348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 KINROSS PL",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107032018",
            "telephone_number": "646-275-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 W GILBERT ST",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014947",
            "telephone_number": "732-212-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JULISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Living Well Counseling Center LLC
• Kathleen Lloyd, CRNP
• Mung Lo, FNP-C
• Marilyn Loh Collado, M.D.
• Brandon Gamaniel Lopez, PA-C
• Todd Joseph Losapio, D.M.D.
• Christina Lusk-Caceres, D.O.
• Christine Jean Lynam, CCC-SLP
• Patricia Lynch
• Lynn Care Senior Services LLC

• Family Nurse Practitioner in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2025; 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.