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GENESIS NICOLE AYALA LOPEZ NPI 1639721319


NPI Information

NPI: 1639721319
Provider Name: GENESIS NICOLE AYALA LOPEZ
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

PECOS Registration: Yes

Address:
725 ALBANY ST FL 8
BOSTON, MA
ZIP 02118
Phone: (617) 414-4841
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Genesis Nicole Ayala Lopez is a neurology with special qualifications in child neurology psychiatry neurology in Boston, MA. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Genesis Nicole Ayala Lopez NPI is 1639721319. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

725 ALBANY ST FL 8
BOSTON, MA
ZIP 02118-549
Phone: (617) 414-4841

The NPI 1639721319 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2019 and was last updated on 9/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics35141PUERTO RICONo
2208000000XPediatrics022419PUERTO RICONo
32084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology3014767MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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