Active NPI
Jamie Lopez, RDN
- Registered Dietitian
- Jersey City, NJ
National Provider Identifier
1437728029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 00987901
- Practice address
- 93 Booraem Ave Apt 1
Jersey City, NJ 07307-2401 - Phone
- (561) 676-7981
- NPI assigned
- Jun 18, 2021
- Last updated
- Jun 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND10299 | FL | |
| Registered Dietitian | 133V00000X | 00987901 | NY | Primary |
Addresses
Primary practice location
93 Booraem Ave Apt 1
Jersey City, NJ 07307-2401
Mailing address
93 Booraem Ave Apt 1
Jersey City, NJ 07307-2401
Phone (561) 676-7981
Other practice location 1
601 University Blvd Ste 207
Jupiter, FL 33458-2788
Phone (561) 745-7878
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND10299 | FL | MD | Registered Dietitian |
| 00987901 | NY | MD | Registered Dietitian |
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.
-
- Registered Dietitian
- Jersey City, NJ
- NPI 1821730367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1437728029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 BOORAEM AVE APT 1",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073072401",
"telephone_number": "561-676-7981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 BOORAEM AVE APT 1",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073072401",
"telephone_number": "561-676-7981"
}
],
"practiceLocations": [
{
"address_1": "601 University Blvd Ste 207",
"address_purpose": "LOCATION",
"city": "Jupiter",
"state": "FL",
"postal_code": "334582788",
"country_code": "US",
"telephone_number": "561-745-7878",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "JAMIE",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-18",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND10299",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "00987901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.