MAYRA LOPEZ (NPI# 1891992236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891992236 |
Entity Type | Individual |
Full Name | MAYRA LOPEZ |
Credential | APN |
Practice Address |
579 Franklin Tpke Ridgewood NJ 07450-1990 |
Practice Telephone | 2012513491 |
Practice Fax Number | 2012513490 |
Mailing Telephone | 2012513491 |
Mailing Fax Number | 2012513490 |
Enumeration Date | 2007-06-29 |
Last Update Date | 2012-12-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00115200 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790333482 | Mayra F Lopez | Dietitian, Registered | 8605 N 19th St, Mcallen, TX 78504-6173 | 2019-08-27 |
1104371905 | Mayra Lopez | Counselor | 1900 G St, Merced, CA 95340 | 2016-08-22 |
1780011957 | Mayra Lopez | Dietitian, Registered | Hh1 Calle 1, Riverview, Bayamon, PR 00961 | 2013-10-03 |
1558568816 | Mayra Lopez | Internal Medicine | 4600 N Habana Ave Ste 32, Tampa, FL 33614-7123 | 2007-06-29 |
1750472056 | Mayra Josefina Lopez | Clinic/Center | 720 Carr 140 Apt 204, Florida Gardens, Barceloneta, PR 00617-3157 | 2006-09-28 |
1780200451 | Mayra Lopez | Social Worker | 180 10th St Se Ste 201, Le Mars, IA 51031-2557 | 2020-06-18 |
1407495708 | Mayra Lopez | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-01-03 |
1609429703 | Mayra Lopez | Technician | 3175 S Eastern Ave, Las Vegas, NV 89169-3308 | 2019-07-18 |
1871085720 | Mayra Barriga Lopez | Case Manager/Care Coordinator | 9889 County Farm Rd, Riverside, CA 92503-3504 | 2018-06-05 |
1407344054 | Mayra Lopez | Behavior Technician | 6770 N West Ave Ste 103, Fresno, CA 93711-1399 | 2018-04-30 |
Street Address |
579 FRANKLIN TPKE |
City | RIDGEWOOD |
State | NJ |
Zip Code | 07450-1990 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194895300 | Ting-wen A Lee | Pediatrics | 579 Franklin Tpke, Ridgewood, NJ 07450-1990 | 2006-11-08 |
1407016108 | Melissa Bahareh Bagloo | Surgery | 579 Franklin Tpke, Ridgewood, NJ 07450-1990 | 2008-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
Find all providers in zip 07450 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386040905 | Mary L Simmons | Nurse Practitioner | 29 Richmond Ave, Ridgewood, NJ 07450-4224 | 2014-11-10 |
1649564568 | Kathleen Pirozzi | Nurse Practitioner | 316 Van Emburgh Ave, Ridgewood, NJ 07450-9998 | 2011-06-08 |
1427254523 | Virginia V Ilie | Nurse Practitioner | 1819 Menahan St, 2 R, Ridgewood, NY 11385-1846 | 2007-06-25 |
1306840913 | Donna Mae Rudesyle | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2005-06-10 |
1588107072 | Mario A Guerrero | Nurse Practitioner | 6655 Fresh Pond Rd, Ridgewood, NY 11385-3261 | 2016-12-01 |
1336692011 | Daniela Cavallaro | Nurse Practitioner | 330 Franklin Tpke, Ridgewood, NJ 07450 | 2016-07-28 |
1831563345 | Allison Makowsky | Nurse Practitioner | 85 S Maple Ave, Ridgewood, NJ 07450 | 2015-11-20 |
1184016826 | Laura Kennedy Flynn | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2015-03-03 |
1043601131 | Jennifer Polizzano | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2015-02-10 |
1275938250 | Yusimi Sobrino-bonilla | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2014-11-03 |
Find all providers in RIDGEWOOD |
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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.