Active NPI 1336629302 Individual Practitioner Female Practitioner

Danielle Marie Lopez

Specialist • Mastic, NY

Professional Overview & Biography Verified Profile Summary

Danielle Lopez is a registered healthcare professional specializing in Specialist in Mastic, NY. Practice services are available at 7 DREAMLAND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7 Dreamland St

Mastic, NY 119501805

Telephone 6317455490

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Mastic, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 34.9 Yrs

Regional Practice Density

18 Specialists

Practicing in Mastic, NY (23296 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 1321501

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Debra Ertola , LPN

Licensed Practical Nurse

NPI 1992117774

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 18, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location August 18, 2018

Registered at 7 DREAMLAND ST, MASTIC, NY 119501805 (Tel: 6317455490)

📍

Updated Business Mailing Address August 18, 2018

Registered at 7 DREAMLAND ST, MASTIC, NY 119501805 (Tel: 6317455490)

👤

Provider Name / Credentials Updated August 18, 2018

Recorded as DANIELLE LOPEZ

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2018

Specialist (License #1321501 in NY)

🟢

Initial NPI Registration & Enumeration August 18, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1336629302

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 18, 2018

Last Update: August 18, 2018

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

7 Dreamland St

Mastic, NY 119501805

Phone: 6317455490

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.