Individual provider Active NPI

Raymond J Lopez, D.C.

  • Chiropractor
  • Oakland, NJ
National Provider Identifier
1457899650
Registry record updated Sep 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00740700 Issued in NJ
Practice address
9 Post Rd Ste D3
Oakland, NJ 07436-1615
Phone
(201) 485-7518
Fax
(201) 485-7517
NPI assigned
Feb 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00740700 NJ Primary

Addresses

Primary practice location

9 Post Rd Ste D3
Oakland, NJ 07436-1615

Mailing address

9 Post Rd
Ste D3
Oakland, NJ 07436-1615
Phone (201) 485-7518

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180406000741 NJ Practitioner - Chiropractic 8123381068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9 Post Rd
Suite D3
Oakland, NJ 07436-1615
Phone (201) 485-7518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Revival Health LLC Chiropractor CurrentSince Jul 1, 2020 Accepting new patients
Active PT Home Care Past Accepting new patients
North American Partners in Pain Management New Jersey LLC Past Accepting new patients

Locations

9 Post Rd
Ste D3
Oakland, NJ 07436
Phone (201) 485-7518

260 Godwin Ave
Ste 7
Wyckoff, NJ 07481
Phone (201) 485-7518

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632528000000",
    "number": "1457899650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 POST RD",
            "address_2": "STE D3",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074361615",
            "telephone_number": "201-485-7518",
            "fax_number": "201-485-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 POST RD STE D3",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074361615",
            "telephone_number": "201-485-7518",
            "fax_number": "201-485-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "RAYMOND",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-08",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00740700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2021; 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.