Madiliz Lopez, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F355161-01 Issued in NY

Practice address

11805 Metropolitan Ave
Kew Gardens, NY 11415-2020

Phone

(347) 238-1550

NPI assigned

Oct 10, 2024

Sex

Female

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: madilizlopez@nslijmedgr.allscriptsdirect.net

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.

• Evelyn Llanos MD PC

  • Family Medicine Physician
  • Huntington, NY
  • NPI 1841319258
  Medicare reassignment NPD
• Elevated Primary Care

  • Family Nurse Practitioner
  • Kew Gardens, NY
  • NPI 1275460339
  NPD Authorized official
• Comprehensive Family Medical Care

  • Family Medicine Physician
  • Huntington Station, NY
  • NPI 1558899989
  Medicare reassignment

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1962221481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11805 METROPOLITAN AVE",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152020",
            "telephone_number": "347-238-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11805 METROPOLITAN AVE",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152020",
            "telephone_number": "347-238-1550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Southdown Rd # 2538",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "117432538",
            "country_code": "US",
            "telephone_number": "631-470-2572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MADILIZ",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F355161-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Little Masters Development Center LLC
• Little Tooth Pediatric Dentistry PLLC
• Xiaoran Liu
• Yuliya Logian
• Dinorah Lombana, LCSW
• Alexandra Loseva, M.S. CCC-SLP
• Aloha Louis
• Jeffrey Michael Lowd, DDS
• Natalia Lukanina-Wu, PA
• Sharyn A Luncheon

• Family Nurse Practitioner in Kew Gardens, NY
• Providers in Kew Gardens, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.