GLENDA LOPEZ (NPI# 1750750329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750750329 |
| Entity Type | Individual |
| Full Name | GLENDA LOPEZ |
| Practice Address |
539 Broad Hollow Rd Suite 202 Farmingdale NY 11735 |
| Mailing Address |
4 Burwood Ln Coram NY 11727 |
| Practice Telephone | 6313857780 |
| Mailing Telephone | 9174450905 |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093012098 | Glenda Yvonne Lopez | Registered Nurse | 2000 Leisure Dr, Orlando, FL 32808-5425 | 2011-02-28 |
| Street Address |
539 BROAD HOLLOW RD SUITE 202 |
| City | FARMINGDALE |
| State | NY |
| Zip Code | 11735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073151197 | Center Island Massage PC | Massage Therapist | 34 Hempstead Turnpike, Suite E, Farmingdale, NY 11735 | 2019-12-19 |
| 1447736434 | Melanie Clampitt | Occupational Therapy Assistant | 158 Sunset Ave, Farmingdale, NY 11735 | 2018-07-13 |
| 1841789120 | I-ting Lin | Acupuncturist | 376 Fulton St. The Phoenix Eastern Medicine Center, Farmingdale, NY 11735 | 2018-05-02 |
| 1447767371 | Nashon Clark | Social Worker | 565 Broadhollow Rd Ste 6e, Farmingdale, NY 11735 | 2017-12-31 |
| 1336669639 | Robby Harris | Psychologist | 31 Lincoln Street, Farmingdale, NY 11735 | 2017-06-27 |
| 1265961544 | Stacey Gouzos | Behavior Technician | 29 Bernard Street, Farmingdale, NY 11735 | 2017-06-08 |
| 1962856450 | Integrated Medical Interventional Diagnostics PC | Registered Nurse | 1111 Broad Hollow Rd 110 Suite 114, Farmingdale, NY 11735 | 2016-04-20 |
| 1528433604 | Robert Gerard Jr. | Peer Specialist | 142-02 20th Aveune, Rosedale, NY 11735 | 2015-12-01 |
| 1366849911 | Jeffrey Rosa | Counselor | 500 Bi-country Blvd, Suite 114, Farmingdale, NY 11735 | 2014-11-25 |
| 1871908749 | Pamela Scutellaro | Nurse Practitioner | 9 Elsie Lane, Farmingdale, NY 11735 | 2014-06-30 |
| Find all providers in zip 11735 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306185582 | April D'andrea | Case Manager/Care Coordinator | 30 Pinetree Dr, Farmingdale, NY 11735-4436 | 2013-02-07 |
| 1265092936 | Nathalee Nicole Nelson | Case Manager/Care Coordinator | 500 Bi County Blvd Ste 450, Farmingdale, NY 11735-3995 | 2019-06-15 |
| 1730516766 | Sapna Thakkar | Case Manager/Care Coordinator | 500 Bi County Blvd Ste 114, Farmingdale, NY 11735-3931 | 2013-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255220 | Nelcy M Garcia De Leon | Case Manager/Care Coordinator | 11 Thamsen Dr, Stony Point, NY 10980-1054 | 2020-11-06 |
| 1003416769 | Mashhura Rofieva | Case Manager/Care Coordinator | 1733 Sheepshead Bay Rd Ste 16, Brooklyn, NY 11235-3743 | 2020-10-30 |
| 1285234369 | David Olmedo | Case Manager/Care Coordinator | 3192 Rawlins Ave, Bronx, NY 10465-1340 | 2020-10-28 |
| 1144829326 | Perel Langsam | Case Manager/Care Coordinator | 14 Jeffrey Pl, Monsey, NY 10952-5702 | 2020-10-20 |
| 1609474295 | Akyra M. Green | Case Manager/Care Coordinator | 11 Dobson Ave, Merrick, NY 11566-4127 | 2020-10-15 |
| 1578161162 | Elizabeth Anna Rubin | Case Manager/Care Coordinator | 3513 Broadway Apt 2l, Astoria, NY 11106-1162 | 2020-10-15 |
| 1033717855 | Sarah Bruck | Case Manager/Care Coordinator | 14 Melnick Dr, Monsey, NY 10952-3328 | 2020-10-14 |
| 1831797091 | Yuliya Levakova | Case Manager/Care Coordinator | 146 Macfarland Ave, Staten Island, NY 10305-4448 | 2020-10-10 |
| 1861009383 | Faith Gibbs | Case Manager/Care Coordinator | 13038 224th St, Laurelton, NY 11413-1244 | 2020-09-29 |
| 1316554074 | Sherry Ann Brion | Case Manager/Care Coordinator | 126 W Chemung St Ste 103, Painted Post, NY 14870-1300 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGDALE |
| Zip Code | 11735 |
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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.