Active NPI
Tania Lopez Pichardo, MD
- Pediatrics Physician
- New York, NY
National Provider Identifier
1578851242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 261511
- Practice address
- 353 E 17TH St Apt 8B
New York, NY 10003-3827 - Phone
- (917) 459-5722
- NPI assigned
- Jul 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 261511 | NY | Primary |
Addresses
Primary practice location
353 E 17TH St Apt 8B
New York, NY 10003-3827
Mailing address
353 E 17TH St Apt 8B
New York, NY 10003-3827
Phone (917) 459-5722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240313004040 | NY | Order and Referring Only - Pediatric Medicine | 3375715535 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310688000000",
"number": "1578851242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 E 17TH ST APT 8B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033827",
"telephone_number": "917-459-5722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 E 17TH ST APT 8B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033827",
"telephone_number": "917-459-5722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ PICHARDO",
"first_name": "TANIA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-15",
"last_updated": "2011-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "261511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
- Analis Lopez Gonzales, LMSW
- Alonso Fernando Lopez Herrera, MD
- Persio David Lopez Loyo, MD
- David Alejandro Lopez Molina, M.PHIL
- Lopez Physical Medicine Consultancy, PLLC
- Estibaliz Lopez Rodrigo, MD
- Cristela Lopez Ruiz
- Nicole Marie Lopez-Canizares
- Maria Tereza Samson Lopez-Cantor, ANP-BC
- Eileen Lopez-Dejesus
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.