Individual provider Active NPI

Diana Lopes London, APN

  • Nurse Practitioner
  • Willow Grove, PA
National Provider Identifier
1770024895
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP017094 Issued in PA
Practice address
2701 Blair Mill Rd Ste 6
Willow Grove, PA 19090-1041
Phone
(856) 751-7880
Fax
(856) 751-9133
NPI assigned
Mar 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP017094 PA Primary

Addresses

Primary practice location

2701 Blair Mill Rd Ste 6
Willow Grove, PA 19090-1041

Mailing address

200 Bowman Dr Ste E360
Voorhees, NJ 08043-9603
Phone (856) 751-7880

Other practice location 1

280 Middletown Blvd
Langhorne, PA 19047-1816
Phone (856) 751-7880

Other practice location 2

1521 8th Ave Ste 201
Bethlehem, PA 18018-1893
Phone (856) 751-7880

Other practice location 3

200 Bowman Dr Ste E360
Voorhees, NJ 08043-9603
Phone (856) 751-7880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170512000144 PA Practitioner - Nurse Practitioner 2769769124 Reassigns benefits to 2 organizations
I20170721002093 NJ Practitioner - Nurse Practitioner 2769769124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology for Children LLCGroup PAC ID 1052609658, 3 clinicians

Practice addresses (Care Compare)

160 E Erie Ave
Philadelphia, PA 19134-1011
Phone (215) 427-5000

200 Bowman Dr
Suite E360
Voorhees, NJ 08043-9603
Phone (856) 751-7880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shriners Hospitals for Children Nurse Practitioner Current Accepting new patients
Shriners Hospitals for Children CurrentSince Mar 9, 2019 Accepting new patients
Urology for Children LLC CurrentSince Apr 11, 2017 Accepting new patients
Shriners Hospitals for Children CurrentSince Mar 9, 2019 Accepting new patients
Shriners Hospitals for Children Past Accepting new patients

Locations

239 Hurffville Crosskeys Rd
Ste 240
Sewell, NJ 08080

200 Bowman Dr
Ste E360
Voorhees, NJ 08043
Phone (856) 247-7600

1521 8th Ave
Ste 201
Bethlehem, PA 18018
Phone (610) 882-2598

500 York Rd
Ste 250
Jenkintown, PA 19046
Phone (215) 572-5300

280 Middletown Blvd
Langhorne, PA 19047
Phone (267) 572-3100

160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-4067

3551 N Broad St
Philadelphia, PA 19140
Phone (215) 430-4000

160 E Erie Ave
Ste 2205
Philadelphia, PA 19134
Phone (215) 330-6025

2701 Blair Mill Rd
Ste 6
Willow Grove, PA 19090
Phone (215) 293-8800

Organizations & group practices 5

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": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1770024895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BOWMAN DR STE E360",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439603",
            "telephone_number": "856-751-7880",
            "fax_number": "856-751-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 BLAIR MILL RD STE 6",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901041",
            "telephone_number": "856-751-7880",
            "fax_number": "856-751-9133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Middletown Blvd",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471816",
            "country_code": "US",
            "telephone_number": "856-751-7880",
            "fax_number": "856-751-9133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1521 8th Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180181893",
            "country_code": "US",
            "telephone_number": "856-751-7880",
            "fax_number": "856-751-9133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Bowman Dr Ste E360",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439603",
            "country_code": "US",
            "telephone_number": "856-751-7880",
            "fax_number": "856-751-9133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONDON",
        "first_name": "DIANA",
        "middle_name": "LOPES",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP017094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

Verify at the official NPI Registry.