Active NPI
Jasmine Lopez
- Speech-Language Pathologist
- Brooklyn, NY
National Provider Identifier
1922676485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 2632 Atlantic Ave
Brooklyn, NY 11207-2425 - Phone
- (718) 473-3803
- NPI assigned
- Jun 11, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
2632 Atlantic Ave
Brooklyn, NY 11207-2425
Mailing address
1227 Belmont Ave
Brooklyn, NY 11208-3413
Other practice location 1
15643 76th St
Howard Beach, NY 11414-2517
Phone (646) 645-0418
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673136000000",
"number": "1922676485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1227 BELMONT AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112083413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2632 ATLANTIC AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112072425",
"telephone_number": "718-473-3803"
}
],
"practiceLocations": [
{
"address_1": "15643 76th St",
"address_purpose": "LOCATION",
"city": "Howard Beach",
"state": "NY",
"postal_code": "114142517",
"country_code": "US",
"telephone_number": "646-645-0418",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "JASMINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-11",
"last_updated": "2023-01-08",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.