Maria Tereza Samson Lopez-Cantor, ANP-BC
Individual provider Active NPI Adult Health Nurse Practitioner · New York, NY
NPI 1992768337 · NPPES record last updated Feb 19, 2021
Key facts
- NPI
- 1992768337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- F303793 (NY)
- Practice address
- 1 Gustave L.Levy Place
Box 3000
New York, NY 10029-6574 - Phone
- (212) 987-3100
- Fax
- (212) 731-5210
- NPI assigned
- Apr 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- New York University
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
Hospital & facility affiliations
- NYU Langone Hospitals
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050723000023 | NY | Practitioner - Nurse Practitioner | 8820025612 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30-303793 | NY | MD | Adult Health Nurse Practitioner |
| F303793 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current |
Accepting new patients | |
| New York University | Current |
Accepting new patients | |
| Mount Sinai School of Medicine | Past | Accepting new patients | |
| Mount Sinai School of Medicine | Past | Accepting new patients |
Locations
17 E 102nd St
New York, NY 10029
Phone (212) 241-7968
530 1st Ave
New York, NY 10016
Phone (212) 263-7216
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 30-303793 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | F303793 | NY | Yes |
Addresses
Primary practice location
1 Gustave L.Levy Place
Box 3000
New York, NY 10029-6574
Mailing address
17 East 102ND Street
New York, NY 10029-6574
Phone (212) 659-8551
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mlopezcantor40238@nyumc.direct-ci.com |
Other providers in New York, NY
- Lopez Physical Medicine Consultancy, PLLC
- Tania Lopez Pichardo
- Estibaliz Lopez Rodrigo
- Cristela Lopez Ruiz
- Nicole Marie Lopez-Canizares
- Eileen Lopez-Dejesus
- Isabel Alejandra Lopez-Garcia
- Manuel Lopez-Leon
- Martina Lopez-May
- Sonia Lopez-Moriarty
All providers in New York, NY · Adult Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.