Jennifer Lopez, MD is a
Family Medicine physician based in Berlin, New York. Jennifer Lopez is licensed to practice in New York (license number 189255) and her current practice location is 46 S Main St, Berlin, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 416-3094.
NPI number for Jennifer Lopez is 1679193700 and her current mailing address is Po Box 89, Berlin, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679193700.
Physician's Profile
Full Name | Jennifer Lopez |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 46 S Main St, Berlin, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679193700
- Provider Enumeration Date: 04/18/2020
- Last Update Date: 04/18/2020
Medical Identifiers
Medical identifiers for Jennifer Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679193700 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 189255 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Lopez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Lopez, MD Po Box 89, Berlin, NY 12022-0089 Ph: (845) 416-3094 | Jennifer Lopez, MD 46 S Main St, Berlin, NY 12022-7730 Ph: (845) 416-3094 |
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