Active NPI
Maricarmen Lopez-Pena, M.D.
- Pediatric Rheumatology Physician
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rheumatology Physician
- License
- 292172
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Broward Hospital District | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| South Broward Hospital District | Current | 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
- 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.
-
dba Memorial Division of Immunology, Allergy and Pediatric Rheumatology
- Pediatric Allergy/Immunology Physician
- Hollywood, FL
- NPI 1790076115
-
dba Albany Medical College Department of Medicine
- Allergy & Immunology Physician
- Albany, NY
- NPI 1386689248
-
dba Albany Medical College Dept of PM&R
- Physical Medicine & Rehabilitation Physician
- Albany, NY
- NPI 1629008537
-
dba Memorial Home Infusion
- Home Infusion Therapy Pharmacy
- Miramar, FL
- NPI 1043656614
-
dba Gerardo Tosca-Claudio, MD
- Pediatrics Physician
- San Juan, PR
- NPI 1871618785
-
dba Memorial Division of Pediatric Orthopedics
- Pediatric Orthopaedic Surgery Physician
- Hollywood, FL
- NPI 1407865520
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1194276576
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.