| Josephine Lopez, | |
|
485 Bloomfield Ave, Caldwell, NJ 07006-5450 | |
| (201) 931-9398 | |
| Not Available |
| Full Name | Josephine Lopez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 485 Bloomfield Ave, Caldwell, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114407210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ00837300 (New Jersey) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 407738 (New York) | Primary |
| Entity Name | Counseling Center at Clark LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245637578 PECOS PAC ID: 3971990144 Enrollment ID: O20220419000848 |
| Entity Name | Medassist NJ II |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336928407 PECOS PAC ID: 1557717428 Enrollment ID: O20231029000065 |
| Mailing Address | Practice Location Address |
|---|---|
| Josephine Lopez, Po Box 375, Caldwell, NJ 07006-7509 Ph: (201) 931-9398 | Josephine Lopez, 485 Bloomfield Ave, Caldwell, NJ 07006-5450 Ph: (201) 931-9398 |
Michele Bergamotto, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25 Gould Pl, Caldwell, NJ 07006 Phone: 973-715-9939 |
Ms. Linda Perry, PMHNP-BC, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 307 Bloomfield Ave Ste 301, Caldwell, NJ 07006 Phone: 862-359-9160 Fax: 855-864-2515 |