Active NPI
Ruth Palan Lopez, NP
- Gerontology Registered Nurse
- Brockton, MA
National Provider Identifier
1942408703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Registered Nurse
- License
- 161424
- Practice address
- 1 Pearl St
Suite 2400
Brockton, MA 02301-2864 - Phone
- (508) 897-6130
- NPI assigned
- Jul 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | 161424 | MA | Primary |
Addresses
Primary practice location
1 Pearl St
Suite 2400
Brockton, MA 02301-2864
Mailing address
90 Mountain St
Sharon, MA 02067-2237
Phone (781) 784-7438
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161424 | MA | MD | Gerontology Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgewater Goddard Park Medical Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Brockton, MA
- NPI 1417932591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942408703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 MOUNTAIN ST",
"city": "SHARON",
"state": "MA",
"postal_code": "020672237",
"telephone_number": "781-784-7438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PEARL ST",
"address_2": "SUITE 2400",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023012864",
"telephone_number": "508-897-6130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "RUTH",
"middle_name": "PALAN",
"name_prefix": "Dr.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "MA",
"license": "161424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.