JACQUELINE MARIE LOPEZ (NPI# 1477828952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477828952 |
| Entity Type | Individual |
| Full Name | JACQUELINE MARIE LOPEZ |
| Credential | RPA-C |
| Practice Address |
301 E Main St Bay Shore NY 11706-8408 |
| Mailing Address |
3 Clover Ln Kings Park NY 11754-3914 |
| Practice Telephone | 5165213744 |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2019-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
23015496 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 259 1st St, Mineola, NY 115013957 | 5166630333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407356900 | Jacqueline Lopez | Midwife | 2467 Beaver Dr, Gillette, WY 82718-5618 | 2018-02-20 |
| 1740667336 | Jacqueline Lopez | Dietitian, Registered | 2811 Glen Hollow Dr, Mckinney, TX 75070-7107 | 2015-05-03 |
| 1932593795 | Jacqueline Lopez | Specialist | 2895 Noel Ct, Wantagh, NY 11793-2317 | 2015-03-19 |
| 1518211093 | Jacqueline V Lopez | Dentist | 8608 Foothill Blvd, 118, Sunland, CA 91040-1963 | 2012-11-05 |
| 1437305026 | Jacqueline Marie Lopez | Family Medicine | 499 H St, Chula Vista, CA 91910-4307 | 2008-08-14 |
| 1619578861 | Jacqueline A Lopez | Technician | 2961 E Serene Ave, Henderson, NV 89074-6507 | 2020-11-04 |
| 1548879323 | Jacqueline Lopez | Behavior Technician | 4910 Airport Ave Ste F, Rosenberg, TX 77471-5759 | 2020-07-28 |
| 1316583487 | Jacqueline Lopez | Student in an Organized Health Care Education/Training Program | 2620 Industry Way, Lynwood, CA 90262-4024 | 2019-11-22 |
| 1669021788 | Jacqueline Noemi Lopez | Social Worker | 655 Westfield Ave, Elizabeth, NJ 07208-1325 | 2019-09-11 |
| 1710452123 | Jacqueline Lopez | Occupational Therapist | 4007 Tieton Dr, Yakima, WA 98908-3345 | 2018-10-11 |
| Street Address |
301 E MAIN ST |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706-8408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053959 | Ebne Rafi | Pharmacist | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-11-03 |
| 1154928711 | Brittany Lee Mulligan | Anesthesiology | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-10-07 |
| 1093322786 | Aliesha Wahab | Pharmacist | 301 E Main St, Bay Shore, NY 11706-8458 | 2020-09-26 |
| 1316553795 | Erica Anne Schott | Pharmacist | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-09-21 |
| 1780296913 | Chelsea Jensen | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-08-19 |
| 1669081865 | John William Mcdonnell Jr. | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-07-24 |
| 1205445566 | Michele Lisa Guelfi | Local Education Agency (LEA) | 301 E Main St, Bay Shore, NY 11706-8458 | 2020-07-23 |
| 1740899921 | Colleen Stubbs | Nurse Practitioner | 301 E Main St, Bay Shore, NY 11706-8458 | 2020-07-23 |
| 1063030757 | Rigoberto Ventura | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-07-08 |
| 1780200709 | Valerie Brooke Matedero | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376177527 | Anabell Marina Lopez Plaza | Physician Assistant | 12 Berrywood Ct, Bay Shore, NY 11706-2058 | 2020-02-26 |
| 1053400697 | Donna Mary Kuzmiski | Physician Assistant | Southside Hospital, 301 E Main St, Bay Shore, NY 11706 | 2006-10-12 |
| 1063030757 | Rigoberto Ventura | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-07-08 |
| 1568946440 | Taylor Wayne Genoino | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2018-09-18 |
| 1154808806 | Kyle Sweazey | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2018-07-25 |
| 1043751944 | Nicole Guja | Physician Assistant | 301 E Main St, Trauma/acs Office, Bay Shore, NY 11706-8408 | 2017-03-13 |
| 1932645132 | Justin Szpilka | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2017-01-11 |
| 1831525476 | Katy Lynn Jones | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2013-09-14 |
| 1437591625 | Jessica Danielle Fraser | Physician Assistant | 39 Brentwood Rd Ste 101, Bay Shore, NY 11706-8031 | 2013-07-29 |
| 1528345600 | Giannina M Gallagher | Physician Assistant | 301 East Main Street, Bay Shore, NY 11706 | 2011-11-03 |
| Find all providers in BAY SHORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.