Ivelisse Lopez

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

254 Euclid Ave
Hackensack, NJ 07601-2845

Phone

(201) 654-1064

NPI assigned

Oct 19, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1902405129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 EUCLID AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 EUCLID AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012845",
            "telephone_number": "201-654-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "IVELISSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margarita Lolis, MD
• Rosemarie B Londono, NP
• Denese Orquidea Longsworth, LSW
• Michelle Lopata, DO
• Diane Lopez
• Danielle Elise Lore
• Mark Charles Loschiavo, DMD
• Lotus Spring LLC
• Stephanie Anne Louglas, AGNP-C
• Loving Care Agecny, Inc

• Behavior Analyst in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.