MICHAEL LOPEZ (NPI# 1255815593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255815593 |
| Entity Type | Individual |
| Full Name | MICHAEL LOPEZ |
| Practice Address |
403 Lake Dr Medford NY 11763-4606 |
| Practice Telephone | 7185781375 |
| Mailing Telephone | 7185781375 |
| Enumeration Date | 2018-09-22 |
| Last Update Date | 2018-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133N00000X | Nutritionist | NY | Dietary & Nutritional Service Providers | |
| N | 133V00000X | Dietitian, Registered | NY | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 0000567890 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013370519 | Michael Lopez | Nutritionist | 111 W Jackson Blvd Ste 1700, Chicago, IL 60604-3597 | 2016-04-01 |
| 1891131538 | Michael John Lopez | Case Manager/Care Coordinator | 7565 East Hwy 66, El Reno, OK 73036 | 2013-05-21 |
| 1023376746 | Michael Alonzo Lopez | Psychiatry & Neurology | 1600 6th Ave S # Chb314, Birmingham, AL 35233 | 2012-05-01 |
| 1093045122 | Michael Dan Lopez | Chiropractor | 2655 E. Beltline Rd., Carrollton, TX 75006 | 2010-01-12 |
| 1326290958 | Michael Jonathon Lopez | Specialist | 116 Orchard Dr, Elida, OH 45807-1081 | 2008-10-14 |
| 1497958045 | Michael Lopez | Counselor | 349 Travis Blvd, Fairfield, CA 94533-3803 | 2007-06-08 |
| 1831211432 | Michael Lopez | Dentist | 3639 S Orlando Dr, Sanford, FL 32773-5611 | 2007-04-04 |
| 1578581641 | Michael James Lopez | Dentist | 1704 Miramonte Ave, Suite #8, Mountain View, CA 94040-3766 | 2006-07-17 |
| 1679559348 | Michael Lopez | Dentist | 4375 1st St, Livermore, CA 94551-4912 | 2005-12-15 |
| 1881205953 | Michael Edward Lopez | Physical Therapist | 2041 Bancroft Way Ste 301, Berkeley, CA 94704-1443 | 2020-08-12 |
| Street Address |
403 LAKE DR |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763-4606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
| 1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
| 1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
| 1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
| Find all providers in zip 11763 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. |
| Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467903864 | Kelly Rosenfeld | Nutritionist | 103 Harvard Ave, Medford, MA 02155-3564 | 2016-10-20 |
| 1679928543 | Summer Waters, LLC | Nutritionist | 832 E Main St, Suite 3, Medford, OR 97504-7153 | 2016-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850599 | Melissa Ayn Reade | Nutritionist | 143 Golf View Dr, Jericho, NY 11753-2820 | 2020-10-28 |
| 1780283077 | Jessica Michelle Coghill | Nutritionist | 439 Hicks St Apt 1c, Brooklyn, NY 11201-5930 | 2020-10-19 |
| 1225641038 | Qianhui Zhang | Nutritionist | 609 W 114th St Apt 76, New York, NY 10025-7912 | 2020-08-31 |
| 1558973156 | Multicommunity Services At 95 | Nutritionist | 1034 Rutland Rd, Brooklyn, NY 11212-2374 | 2020-08-17 |
| 1588273882 | Arbor Health Inc | Nutritionist | 613 Pittsford Victor Rd, Pittsford, NY 14534 | 2020-07-23 |
| 1982212676 | Francesca Alfano | Nutritionist | 9 Barclay Ct, East Hampton, NY 11937-3538 | 2020-07-19 |
| 1477171007 | Sun Messenger LLC | Nutritionist | 105 8th Ave Apt 4, Brooklyn, NY 11215-1503 | 2020-07-09 |
| 1275154023 | Christine Cherpak-castagna | Nutritionist | 97 Summit St Apt 2, Oyster Bay, NY 11771-2334 | 2020-05-04 |
| 1144841263 | Regina Catherine Ragone | Nutritionist | 2a Woodlawn Pl, Lynbrook, NY 11563-1422 | 2020-04-29 |
| 1922628296 | Nutrition Well, P.C. | Nutritionist | 91 Bay 31st St, Brooklyn, NY 11214-5203 | 2020-04-16 |
| Find all providers with the same taxonomy | ||||
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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.