Individual provider Active NPI

Lucelis Lopez Romero, BEHAVIORAL HEALTH

  • Behavior Technician
  • Lakewood, NJ
National Provider Identifier
1700641370
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
IOE0919203886 Issued in NJ
Practice address
395 Route 70 Ste 202
Lakewood, NJ 08701-6161
Phone
(732) 719-1256
Fax
(732) 544-0364
NPI assigned
Feb 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X IOE0919203886 NJ Primary

Addresses

Primary practice location

395 Route 70 Ste 202
Lakewood, NJ 08701-6161

Mailing address

155 Washington St Apt 410
Jersey City, NJ 07302-4576
Phone (551) 260-3654

Other names 1

  • Miss Lucelis Lopez Romero Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IOE0919203886NJMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1700641370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 WASHINGTON ST APT 410",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024576",
            "telephone_number": "551-260-3654",
            "fax_number": "551-260-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 ROUTE 70 STE 202",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087016161",
            "telephone_number": "732-719-1256",
            "fax_number": "732-544-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ ROMERO",
        "first_name": "LUCELIS",
        "name_prefix": "Miss",
        "credential": "BEHAVIORAL HEALTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NJ",
            "license": "IOE0919203886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCELIS",
            "last_name": "LOPEZ ROMERO",
            "prefix": "MISS",
            "credential": "BEHAVIORAL HEALTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.