MARILYN LOPEZ NPI 1710109160

NPI Information

  • NPI: 1710109160
  • Provider Name: MARILYN LOPEZ
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 46 TODD RD
    VALLEY STREAM, NY
    ZIP 11580
  • Phone: (516) 823-0274

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NPI Details

Marilyn Lopez is a gerontology nurse practitioner in Valley Stream, NY. Marilyn Lopez NPI is 1710109160. 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:

46 TODD RD
VALLEY STREAM, NY
ZIP 11580-018
Phone: (516) 823-0274

The NPI 1710109160 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 7/8/2007.

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
1363LG0600XNurse PractitionerGerontologyF340345NEW YORKYes

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: 11/21/2025

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