Juan Lopez, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MA36433 Issued in NJ

Practice address

17 Newcastle CT
Mountain Lakes, NJ 07046-1450

Phone

(973) 625-4106

NPI assigned

Nov 24, 2006

Last updated

Jul 12, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

85.15 of 100Reported as group

Quality

71.59

Promoting interoperability

100

Improvement activities

40

Cost

76.65

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jlopez77171@direct.optum.com
• Direct secure messaging: juan.lopez@direct.christhospital.md

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.

• Optum Medical Care of New Jersey PC

  • Pediatrics Physician
  • New Hyde Park, NY
  • NPI 1578665048

  NJ

  Medicare reassignment NPD
• Hudson Hospital Opco LLC

  dba Christ Hospital

  • General Acute Care Hospital
  • Jersey City, NJ
  • NPI 1871859306
  NPD
• Optum Medical Care of New Jersey PC

  dba Riverside Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Belleville, NJ
  • NPI 1255050902
  NPD
• A.G. Dikengil, MD, PA

  • Radiology Clinic/Center
  • Lyndhurst, NJ
  • NPI 1205992690
  NPD (past)
• Denville Oral & Maxillofacial Surgeons PA

  • Oral and Maxillofacial Pathology Dentistry
  • Denville, NJ
  • NPI 1861524100
  NPD (past)
• Denville Oral & Maxillofacial Surgeons, LLC

  • Surgery Physician
  • Denville, NJ
  • NPI 1982873709
  NPD (past)
• Garden State Healthcare Associates, LLC

  • Emergency Medicine Physician
  • Bayonne, NJ
  • NPI 1700014545

  Cardiovascular Disease

  NPD (past)

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499817600000",
    "number": "1497821250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 NEWCASTLE CT",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461450",
            "telephone_number": "973-299-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 NEWCASTLE CT",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461450",
            "telephone_number": "973-625-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2017-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA36433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1704702",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Langford, LPC
• Marla E Leen, DPM
• Frederick T Legband, D.M.D.
• Keith S Leibowitz, DO
• Jason Levitz, M.D.
• Alyssa Lynch, PA-C
• Michael Malagold, MD
• Kristi Lauren Marinco
• Emily Rose Maser
• Ronald D Massari, MD

• Cardiovascular Disease Physician in Mountain Lakes, NJ
• Providers in Mountain Lakes, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.
• 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.