Individual provider Active NPI

Sandra Leticia Lopez Collado, M.D.

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1922403526
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
289727 Issued in NY
Practice address
234 E 149TH St
Bronx, NY 10451-5504
Phone
(646) 787-7236
NPI assigned
Oct 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 289727 NY Primary

Addresses

Primary practice location

234 E 149TH St
Bronx, NY 10451-5504

Mailing address

515 W 207TH St
New York, NY 10034-2645
Phone (212) 544-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240401003296 CT Practitioner - Pediatric Medicine 5698113363 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
289727NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Institute for Communities Inc CurrentSince Feb 20, 2024 Accepting new patients
Connecticut Institute for Communities Inc Current Accepting new patients
Pediatrics 2000at 207 Street PLLC PastSince Mar 22, 2020 Accepting new patients

Locations

57 North St
Ste 103
Danbury, CT 06810
Phone (203) 744-7007

57 North St
Ste 309
Danbury, CT 06810
Phone (203) 794-0761

120 Main St
Fl 4
Danbury, CT 06810
Phone (203) 456-1405

120 Main St
Danbury, CT 06810
Phone (203) 456-1406

Interoperability endpoints

  • Direct secure messaging: sandra.lopez@gdchc.eclinicaldirectplus.com

Organizations & group practices 3

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": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1922403526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W 207TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100342645",
            "telephone_number": "212-544-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515504",
            "telephone_number": "646-787-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ COLLADO",
        "first_name": "SANDRA",
        "middle_name": "LETICIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "289727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.