Enrique Getulio Lopez, LCGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

25MJ00061000 Issued in NJ

Practice address

11 Getty Avenue
Floor 2
Paterson, NJ 07503

Phone

(973) 754-2729

NPI assigned

Nov 5, 2021

Last updated

Nov 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1538824495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 PATERSON AVE APT 218",
            "city": "WALLINGTON",
            "state": "NJ",
            "postal_code": "070571920",
            "telephone_number": "732-228-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 GETTY AVENUE",
            "address_2": "FLOOR 2",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07503",
            "telephone_number": "973-754-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ENRIQUE",
        "middle_name": "GETULIO",
        "credential": "LCGC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "NJ",
            "license": "25MJ00061000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zev B. Lob, D.O.
• Linda Locke, C.N.M.
• Hermann N Logang, CRNA
• Sharna Long
• Catalina Lopez Rueda, MD
• Roxanne Lotts, MSN-ANP-C
• Sade Louis, MD
• Juliana Kathryn Loukachouk, PA-C
• Rana Adel Loutfy, DMD
• Marques Lowery, MS, CADC

• Genetic Counselor (M.S.) in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Genetic Counselor (M.S.) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.

Verify at the official NPI Registry.