JENNIFER LOPEZ (NPI# 1679193700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679193700 |
| Entity Type | Individual |
| Full Name | JENNIFER LOPEZ |
| Other Name | JENNIFER GALLANT |
| Credential | MD |
| Practice Address |
46 S Main St Berlin NY 12022-7730 |
| Mailing Address |
Po Box 89 Berlin NY 12022-0089 |
| Practice Telephone | 8454163094 |
| Mailing Telephone | 8454163094 |
| Enumeration Date | 2020-04-18 |
| Last Update Date | 2020-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 189255 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801422852 | Jennifer Anne Lopez | Counselor | 10010 Reseda Blvd Unit D, Northridge, CA 91324-1495 | 2020-03-20 |
| 1578193348 | Jennifer Lopez | Dietitian, Registered | 8640 Sudley Rd Ste 108, Manassas, VA 20110-4404 | 2020-01-21 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1356901623 | Jennifer Knickerbocker Lopez | Physician Assistant | 5702 Saintsbury Dr Apt 123, The Colony, TX 75056-5488 | 2019-06-18 |
| 1841757085 | Jennifer Te Lopez | Nurse Practitioner | 2201 E 23rd St, Mission, TX 78572-3277 | 2019-02-25 |
| 1568940799 | Jennifer Lopez | Specialist/Technologist | 10114 Winsford Oak Blvd Apt 511, Tampa, FL 33624-5164 | 2018-07-31 |
| 1508356627 | Jennifer Lopez | Nurse Practitioner | 3563 Altis Cir S Unit 15201, Hialeah, FL 33018-6087 | 2018-05-14 |
| 1366950453 | Jennifer Jean Lopez | Specialist/Technologist | 8770 W Lane Ave, Glendale, AZ 85305-3972 | 2018-01-11 |
| 1346794286 | Jennifer Elise Lopez | Dietitian, Registered | 6448 Carousel Dr, Watauga, TX 76148-2815 | 2016-08-09 |
| 1447622519 | Jennifer Lopez | Behavioral Analyst | 448 W 153rd St Apt 21, New York, NY 10031-1135 | 2015-10-28 |
| Street Address |
46 S MAIN ST |
| City | BERLIN |
| State | NY |
| Zip Code | 12022-7730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700295946 | Angelina Maria Wasielewski | Occupational Therapist | 164 Green Hollow Rd., Berlin, NY 12022 | 2014-08-12 |
| 1124314034 | Hilary R Ferris | Occupational Therapist | 53 School Street, Berlin, NY 12022 | 2011-06-20 |
| 1538472238 | Liane Densmore | Occupational Therapy Assistant | 164 Green Hollow Road, Berlin, NY 12022 | 2010-07-22 |
| 1700172699 | Stephanie Michelle Hover | Occupational Therapist | 53 School Street, Berlin, NY 12022 | 2011-06-20 |
| 1275800427 | Ellen Marie Olson | Local Education Agency (LEA) | 45 North Main St., Berlin, NY 12022-0284 | 2011-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183030 | Adrienne Lara Fedyna Dembeck | Specialist/Technologist | 211 New Britain Rd Ste 101, Berlin, CT 06037-3167 | 2020-10-27 |
| 1235738873 | Alexander W Morgan | Dietetic Technician, Registered | 100 Russell Ave, Berlin, NJ 08009-9658 | 2020-10-24 |
| 1053910067 | Mary Ellen F Pumper | Pharmacist | 861 County Rd F, Berlin, WI 54923 | 2020-10-21 |
| 1295334571 | Coastline Medical LLC | Durable Medical Equipment & Medical Supplies | 9928 Old Ocean City Blvd Ste 10, Berlin, MD 21811-1170 | 2020-10-19 |
| 1477152825 | Sanjib Nandi | Pharmacist | N8627 Red Tail Hawk Blvd, Berlin, WI 54923-8816 | 2020-10-17 |
| 1588278253 | Heather Vaughan-pignatella | Specialist/Technologist, Other | 39a Webster Square Rd, Berlin, CT 06037-2349 | 2020-09-01 |
| 1881206118 | Annika Hogan | Behavior Technician | 162 Lyman Rd, Berlin, MA 01503-1803 | 2020-08-18 |
| 1811509482 | Molly Anne Powell | Nurse Practitioner | 222 Stockton Blvd, Berlin, NJ 08009-7111 | 2020-08-17 |
| 1275144693 | Brandon M O'brien | Home Health Aide | 10226 Old Ocean City Blvd Unit 2, Berlin, MD 21811-1196 | 2020-08-10 |
| 1831707744 | Sarah R Aronson | Acupuncturist | 117 Lyman Rd, Berlin, MA 01503-1802 | 2020-07-16 |
| Find all providers in BERLIN | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093179400 | Justin Cherng Chuang | Family Medicine | Cvmc Hospitalist Department, 130 Fisher Road, 3rd Floor, Berlin, VT 05602-9000 | 2016-04-12 |
| 1952789265 | Brianne Teaboldt | Family Medicine | 133 Pleasant St Unit 2, Berlin, NH 03570 | 2015-05-07 |
| 1841587839 | Brian L Rodriguez | Family Medicine | 130 Fisher Rd., Ste. #3-1, Fahc-berlin Family Practice, Berlin, VT 05602 | 2011-06-29 |
| 1134428105 | Community Health Network | Family Medicine | W832 State Road 91, Ste 3, Berlin, WI 54923-8821 | 2011-03-16 |
| 1801038260 | Peninsula Regional Medical Center | Family Medicine | 10445 Ocean City Blvd, Unit #1, Berlin, MD 21811 | 2009-04-01 |
| 1306016050 | Atco Family Medical Associates, PC | Family Medicine | 10 Gardens Avenue, Berlin, NJ 08009-2104 | 2008-03-10 |
| 1336325596 | Jill E. Moorcroft | Family Medicine | 279 New Britain Rd, #6, Origins of Health, LLC, Berlin, CT 06037 | 2008-01-17 |
| 1902087190 | Richard Andrews Crandall IIi | Family Medicine | 1093 Brookfield Rd, Berlin, VT 05602-9065 | 2007-11-16 |
| 1174635536 | Angela L Gibbs | Family Medicine | 11200 Racetrack Rd, Ste A104, Berlin, MD 21811-3809 | 2006-08-31 |
| 1053347708 | Jennifer Brennan Bamford | Family Medicine | 130 Fisher Rd., Uvm Medical Center - Fm/berlin, Berlin, VT 05602 | 2006-06-24 |
| Find all providers in BERLIN | ||||
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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.