Individual provider Active NPI

Maricarmen Lopez-Pena, M.D.

  • Pediatric Rheumatology Physician
  • Albany, NY
National Provider Identifier
1740387190
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rheumatology PhysicianTaxonomy code 2080P0216X
License
292172 Issued in NY
Practice address
22 New Scotland Ave # MC-88
Albany, NY 12208-3795
Phone
(518) 262-5332
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rheumatology Physician 2080P0216X 292172 NY Primary

Addresses

Primary practice location

22 New Scotland Ave # MC-88
Albany, NY 12208-3795

Mailing address

22 New Scotland Ave FL 3
Albany, NY 12208-3795
Phone (518) 262-7337

Other practice location 1

349 Ave. Felisa Rincon de Gautier,
suite 202
San Juan, PR 00926
Phone (787) 999-0889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20251009004856 FL Practitioner - RheumatologyPractitioner - Pediatric Medicine 4587925805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Pediatric Medicine
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2900 Corporate Way
Door D
Miramar, FL 33025-3925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Jul 17, 2025 Accepting new patients
Albany Medical College Current Accepting new patients
South Broward Hospital District CurrentSince Jul 17, 2025 Accepting new patients
Albany Medical College Current Accepting new patients
South Broward Hospital District Past Accepting new patients
University Medical Service Association Inc Past Accepting new patients
Centro Pediatrico Paseos Past Accepting new patients

Locations

1131 N 35th Ave
Ste 220
Hollywood, FL 33021

1951 SW 172nd Ave
Ste 415
Miramar, FL 33029
Phone (954) 265-2423

22 New Scotland Ave
Fl 3
Albany, NY 12208
Phone (518) 262-5332

22 New Scotland Ave
#88
Albany, NY 12208
Phone (518) 262-5332

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

Interoperability endpoints

  • Direct secure messaging: sjcmlopez@yourcarecommunity.org

Organizations & group practices 7

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1740387190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 NEW SCOTLAND AVE FL 3",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083795",
            "telephone_number": "518-262-7337",
            "fax_number": "518-262-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 NEW SCOTLAND AVE # MC-88",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083795",
            "telephone_number": "518-262-5332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "349 Ave. Felisa Rincon de Gautier,",
            "address_2": "suite 202",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00926",
            "country_code": "US",
            "telephone_number": "787-999-0889",
            "fax_number": "787-999-0891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ-PENA",
        "first_name": "MARICARMEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "NY",
            "license": "292172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.