Edna Retiracion Lopez-Maslak, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA0653880 Issued in NJ

Practice address

206 Belleville Ave Ste 202
Bloomfield, NJ 07003-3589

Phone

(973) 743-0202

Fax

(973) 743-0777

NPI assigned

Feb 1, 2006

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 NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Rwjbh Primary Care Services

  • Internal Medicine Physician
  • West Orange, NJ
  • NPI 1265037501

  Pediatrics

  Medicare reassignment NPD
• Sanitas Medical Center of New Jersey PC

  • Urgent Care Clinic/Center
  • Union City, NJ
  • NPI 1043722986
  NPD
• Sanitas Medical Center of New Jersey PC

  • Radiology Clinic/Center
  • Union City, NJ
  • NPI 1497267330
  NPD
• Sanitas Medical Center of New Jersey PC

  • Family Medicine Physician
  • Union City, NJ
  • NPI 1740792779
  NPD
• Newark Beth Israel Medical Center Inc

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215027966
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1396716767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LB# 7550 PO BOX 95000",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191957550",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BELLEVILLE AVE STE 202",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033589",
            "telephone_number": "973-743-0202",
            "fax_number": "973-743-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-MASLAK",
        "first_name": "EDNA",
        "middle_name": "RETIRACION",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA0653880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Jo Lockhart, M.A, BCBA
• Logos Christian Counseling, Inc.
• Robert Anthony Lohse, FNP-BC
• Salvatore A Lombardo, MD
• Alexis Long
• Frankie Raul Lopez, MS,LAT,ATC
• Louis J Petracca MD PA
• Elizabeth K Low, LPC
• Jose Anmosel Pastrano Lozada, PT
• Luningning Tuazon Lozada, PT

• Pediatrics Physician in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.