Individual provider Active NPI

Carlos Eduardo Lozano

  • Family Nurse Practitioner
  • Toms River, NJ
National Provider Identifier
1699324913
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00956500 Issued in NJ
Practice address
1430 Hooper Ave
Toms River, NJ 08753-2895
Phone
(732) 557-0700
NPI assigned
Sep 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00956500 NJ Primary

Addresses

Primary practice location

1430 Hooper Ave
Toms River, NJ 08753-2895

Mailing address

1430 Hooper Ave
Toms River, NJ 08753-2895
Phone (732) 557-0700

Other practice location 1

2-12 Corbett Way
Eatontown, NJ 07724-4251
Phone (908) 675-4297

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191030002340 NJ Practitioner - Nurse Practitioner 2961734694 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
24.21 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
80.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NJ00956500NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Service Fund of Deborah Heart & Lung Center CurrentSince Sep 15, 2021 Accepting new patients
Great Health Medical New Jersey PC CurrentSince Dec 1, 2023 Accepting new patients
Professional Service Fund of Deborah- Anesthesia Current Accepting new patients

Locations

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

101 Chase Ave
Ste 105
Lakewood, NJ 08701
Phone (212) 201-1252

407 Willoughby Ave
Brooklyn, NY 11205
Phone (212) 201-1252

Interoperability endpoints

  • Direct secure messaging: carlos.lozano.1@13312.direct.athenahealth.com

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": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1699324913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 HOOPER AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532895",
            "telephone_number": "732-557-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 HOOPER AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532895",
            "telephone_number": "732-557-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2-12 Corbett Way",
            "address_purpose": "LOCATION",
            "city": "Eatontown",
            "state": "NJ",
            "postal_code": "077244251",
            "country_code": "US",
            "telephone_number": "908-675-4297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOZANO",
        "first_name": "CARLOS",
        "middle_name": "EDUARDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-09",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00956500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.