NPIMap

Individual provider Active NPI

Oshman Lopez, MD

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1962963991
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD489061 Issued in PA
Practice address
100 E 77TH St
New York, NY 10075-1850
Phone
(212) 434-2000
NPI assigned
Mar 31, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X MD489061 PA
Diagnostic Radiology Physician 2085R0202X MD489061 PA Primary

Addresses

Primary practice location

100 E 77TH St
New York, NY 10075-1850

Mailing address

100 E 77TH St
New York, NY 10075-1850

Other practice location 1

30 Lawrence Rd Ste 300
Broomall, PA 19008-3301
Phone (484) 446-3611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250827000146 PA Practitioner - Diagnostic Radiology 6406288786 Reassigns benefits to 1 organization
I20250917002001 FL Practitioner - Diagnostic Radiology 6406288786 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Howard University College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Radiology Associates LLCGroup PAC ID 2769829522, 74 clinicians
Radiology Associates of South Carolina LLCGroup PAC ID 3779932959, 109 clinicians
Pennsylvania Radiology Associates PCGroup PAC ID 4385170810, 48 clinicians
Radiology Associates of North Carolina PCGroup PAC ID 8628507811, 36 clinicians
Christiana Care Pennsylvania IncGroup PAC ID 8921549973, 176 clinicians

Practice addresses (Care Compare)

13827 Rushing Creek Run
Orlando, FL 32824-9230
Phone (469) 757-1042

30 Lawrence Rd
Suite 300
Broomall, PA 19008-3301
Phone 61039413504

619 Avenida de Mayo
Sarasota, FL 34242-1501
Phone (469) 757-1042

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD489061PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Radiology Associates PC Diagnostic Radiology CurrentSince Jul 28, 2025 Accepting new patients
Christiana Care Pennsylvania Inc CurrentSince Aug 1, 2025 Accepting new patients
Radiology Associates of North Carolina PC Diagnostic Radiology CurrentSince Jul 28, 2025 Accepting new patients
Christiana Care Pennsylvania Inc CurrentSince Aug 1, 2025 Accepting new patients
Christiana Care Pennsylvania Inc Diagnostic Radiology Current Accepting new patients
Florida Radiology Associates LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Aug 27, 2025 Accepting new patients

Locations

4500 San Pablo Rd S
Jacksonville, FL 32224
Phone (904) 721-4815

30 Lawrence Rd
Ste 300
Broomall, PA 19008
Phone (484) 446-3611

900 W Baltimore Pike
Ste 102
West Grove, PA 19390
Phone (302) 838-3088

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1962963991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 77TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 77TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751850",
            "telephone_number": "212-434-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Lawrence Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Broomall",
            "state": "PA",
            "postal_code": "190083301",
            "country_code": "US",
            "telephone_number": "484-446-3611",
            "fax_number": "484-446-3612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "OSHMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-31",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "PA",
            "license": "MD489061",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD489061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.