Organization Active NPI

Liliana Lopez NP in Family Health PC

  • Family Nurse Practitioner
  • Spring Valley, NY
National Provider Identifier
1356885180
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F334480 Issued in NY
Legal business name
LILIANA LOPEZ NP IN FAMILY HEALTH PC
Practice address
25 S Main St
Suite E
Spring Valley, NY 10977-4917
Phone
(845) 499-5496
Fax
(845) 290-1435
NPI assigned
Dec 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

Name
Liliana Lopez, NPNPI 1467478982
Title
Provider
Phone
(845) 499-5496

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
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X F334480 NY Primary

Addresses

Primary practice location

25 S Main St
Suite E
Spring Valley, NY 10977-4917

Mailing address

25 S Main St
Suite E
Spring Valley, NY 10977-4917
Phone (845) 499-5496

Other names 1

  • En Su Casa Primary Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170110000018 NY Part B Supplier - Clinic/Group Practice 7517248339 Receives reassigned benefits from 6 practitioners
Practice locations: Haverstraw, NY; Ossining, NY; Spring Valley, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2063652Liliana Lopez, NP in Family Health, PC25 South Main Street, Suite E, Spring Valley, NY 10977Certificate of waiverAug 6, 2027

National Provider Directory

National Provider Directory

Locations

12 Broadway
Haverstraw, NY 10927
Phone (845) 499-5696

73 Croton Ave
Ossining, NY 10562
Phone (914) 339-5604

25 S Main St
Ste E
Spring Valley, NY 10977
Phone (845) 499-5496

Practitioners & affiliated clinicians

Practitioners 9

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": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1356885180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S MAIN ST",
            "address_2": "SUITE E",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109774917",
            "telephone_number": "845-499-5496",
            "fax_number": "845-290-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S MAIN ST",
            "address_2": "SUITE E",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109774917",
            "telephone_number": "845-499-5496",
            "fax_number": "845-290-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILIANA LOPEZ NP IN FAMILY HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "LILIANA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "845-499-5496",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F334480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "En Su Casa Primary Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.