NPIMap

Individual provider Active NPI

Lina M Lopez, M.D.

  • Psychiatry Physician
  • Park Ridge, NJ
National Provider Identifier
1861593881
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA08334500 Issued in NJ
Practice address
74 Pascack Rd
Suite 2
Park Ridge, NJ 07656-1935
Phone
(201) 930-0900
Fax
(201) 391-7733
NPI assigned
Sep 25, 2006
Last updated
Jun 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA08334500 NJ Primary
Child & Adolescent Psychiatry Physician 2084P0804X 25MA08334500 NJ

Addresses

Primary practice location

74 Pascack Rd
Suite 2
Park Ridge, NJ 07656-1935

Mailing address

74 Pascack Rd
Suite 2
Park Ridge, NJ 07656-1935
Phone (201) 930-0900

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Psychiatry Past Accepting new patients
The University of Texas Health Science Center at Houston Past Accepting new patients
Joseph K Hyon DO PA Past Accepting new patients
University of Texas Health Science Center at Houston Psychiatry Past Accepting new patients
University of Texas Health Science Center at Houston Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1861593881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 PASCACK RD",
            "address_2": "SUITE 2",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561935",
            "telephone_number": "201-930-0900",
            "fax_number": "201-391-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 PASCACK RD",
            "address_2": "SUITE 2",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561935",
            "telephone_number": "201-930-0900",
            "fax_number": "201-391-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "LINA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08334500",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA08334500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.