MAYRA LOPEZ


Address: 579 Franklin Tpke, Ridgewood, NJ 07450-1990
Phone: 2012513491

MAYRA LOPEZ (NPI# 1891992236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

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Office Location

Street Address 579 FRANKLIN TPKE
City RIDGEWOOD
State NJ
Zip Code 07450-1990

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City RIDGEWOOD
Zip Code 07450

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Dataset Information

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.

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