Dr Edwin Lopez-bernard, MD | |
1401 Atlantic Ave, Atlantic City, NJ 08401-7022 | |
(609) 572-8686 | |
(609) 572-6033 |
Full Name | Dr Edwin Lopez-bernard |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1401 Atlantic Ave, Atlantic City, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730147901 | NPI | - | NPPES |
0081175 | Medicaid | NJ | |
106027 | Other | NJ | NJ CARPENTERS |
60017218 | Other | NJ | HORIZON NJ HEALTH |
7841681 | Other | NJ | CIGNA |
K6413 | Other | NJ | HORIZON BCBS |
12049728 | Other | NJ | MULTIPLAN |
202797565 | Other | NJ | DEVON |
221736 | Other | NJ | US FAMILY HEALTH PLAN |
P3627184 | Other | NJ | OXFORD |
3K4150 | Other | NJ | HEALTH NET |
2410743001 | Other | NJ | AMERIHEALTH |
2550979 | Other | NJ | UNITEDHEALTH |
7871557 | Other | NJ | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MA07514000 (New Jersey) | Primary |
208M00000X | Hospitalist | MA07514000 (New Jersey) | Secondary |
208000000X | Pediatrics | 25MA07514000 (New Jersey) | Secondary |
Entity Name | Atlanticare Physician Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093829608 PECOS PAC ID: 8527953660 Enrollment ID: O20040218000405 |
Entity Name | Atlanticare Health Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215987771 PECOS PAC ID: 7911810916 Enrollment ID: O20040719001204 |
Mailing Address | Practice Location Address |
---|---|
Dr Edwin Lopez-bernard, MD 53 W White Horse Pike Ste D, Galloway, NJ 08205-9450 Ph: (609) 748-2800 | Dr Edwin Lopez-bernard, MD 1401 Atlantic Ave, Atlantic City, NJ 08401-7022 Ph: (609) 572-8686 |
Dr. Cheryl A Kuponiyi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4127 Atlantic Ave, Atlantic City, NJ 08401 Phone: 609-601-6366 | |
Sue A. Mah, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1925 Pacific Ave, Atlantic City, NJ 08401 Phone: 609-345-4000 Fax: 609-572-8523 | |
Alonso E. Concha Leon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1925 Pacific Ave, Atlantic City, NJ 08401 Phone: 609-345-4000 Fax: 609-572-8523 | |
Dr. Rolando Q. Mallari, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1925 Pacific Ave, Chop Care Network At Atlanticare - Atlantic City, Atlantic City, NJ 08401 Phone: 609-345-4000 | |
Peggy A Solomon-bergen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Atlantic Ave, Atlantic City, NJ 08401 Phone: 609-572-0000 Fax: 609-572-0039 |