Active NPI
Joel Lopez
- Driver
- Westbury, NY
National Provider Identifier
1376049627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 362248072
- Practice address
- 1071 Mirabelle Ave
Westbury, NY 11590-5523 - Phone
- (516) 248-2415
- Fax
- (514) 248-2415
- NPI assigned
- Apr 4, 2018
- Last updated
- Apr 4, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 362248072 | NY | Primary |
Addresses
Primary practice location
1071 Mirabelle Ave
Westbury, NY 11590-5523
Mailing address
1071 Mirabelle Ave
Westbury, NY 11590-5523
Phone (516) 248-2415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 362248072 | NY | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MJ Ambulette Services Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Non-emergency Medical Transport (VAN)
- Westbury, NY
- NPI 1801372933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1376049627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1071 MIRABELLE AVE",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115905523",
"telephone_number": "516-248-2415",
"fax_number": "514-248-2415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1071 MIRABELLE AVE",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115905523",
"telephone_number": "516-248-2415",
"fax_number": "514-248-2415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "JOEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-04",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NY",
"license": "362248072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.