JOHN P.F. LOPEZ MD
NPI 1255430179
Emergency Medicine in New Brunswick, NJ

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
254 EASTON AVE, ST. PETER'S UNIVERSITY HOSPITAL, NEW BRUNSWICK, NJ 08901(732) 937-6009 Get Directions Write a Review

NPPES record last updated: July 14, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About John P.f. Lopez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN P.F. LOPEZ MD (NPI 1255430179) is an individual emergency medicine provider in New Brunswick, New Jersey, licensed in New Jersey (25MA06849400) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Bayshore Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1255430179
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJOHN P.F. LOPEZCredential: MD
Location Address254 EASTON AVE, ST. PETER'S UNIVERSITY HOSPITALNew Brunswick, NJ 08901-1766
Mailing Address50 Bayberry DrHolmdel, NJ 07733-1040 · (732) 888-1448
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJuly 14, 2009
✔ NPI 1255430179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NJ · 25MA06849400
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
254 EASTON AVE, New Brunswick, NJ 08901

Other Identifiers 3

OtherD07641700NJ · Cds Number
Medicare UPINH63170NJ
Medicare PIN085605NJ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John P.f. Lopez Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911805700
PECOS Enrollment IDI20041130000753
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

7

Medicare enrollment records show John Lopez reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
601 W. UNION AVE.
Bound Brook, NJ 08805
  • Reassigned Medicare billing, New Jersey enrollment
  • 125 clinicians in this Medicare group
Urgent Care
2624 HIGHWAY 516
Old Bridge, NJ 08857
  • Reassigned Medicare billing, New Jersey enrollment
  • 68 clinicians in this Medicare group
Urgent Care
315 W MAIN ST
Freehold, NJ 07728
  • Reassigned Medicare billing, New Jersey enrollment
  • 95 clinicians in this Medicare group
Urgent Care
731 HIGHWAY 35, UNIT G
Ocean, NJ 07712
  • Reassigned Medicare billing, New Jersey enrollment
  • 130 clinicians in this Medicare group
Multi-Specialty
651 WILLOW GROVE ST
Hackettstown, NJ 07840
  • Reassigned Medicare billing, New Jersey enrollment
  • 429 clinicians in this Medicare group
Urgent Care
686 ROUTE 70
Brick, NJ 08723
  • Reassigned Medicare billing, New Jersey enrollment
  • 39 clinicians in this Medicare group
Urgent Care
67 E RIDGEWOOD AVE, UNIT C
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 144 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Pharmacist
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Internal Medicine (Critical Care Medicine)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Genetic Counselor, MS
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Student in an Organized Health Care Education/Training Program
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Pediatrics (Neonatal-Perinatal Medicine)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
254 EASTON AVE, PEDIATRIC NEUROLOGY
NEW BRUNSWICK, NJ 08901
Nurse Practitioner (Acute Care)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Lopez's NPI number?

The NPI number for John Lopez is 1255430179. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is John Lopez located?

John Lopez practices at 254 Easton Ave St. Peter's University Hospital, New Brunswick, NJ 08901. The listed phone number is (732) 937-6009.

What is John Lopez's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is John Lopez enrolled in Medicare?

Yes. John Lopez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for John Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Lopez reassigns Medicare benefits to 7 organizations: Jersey Irish Medical (Bound Brook, NJ), Excel Urgent Care Of Nj LLC (Old Bridge, NJ), Hackensack Meridian Urgent Care, PC (Freehold, NJ), Central Jersey Urgent Care (Ocean, NJ), The Radiology Group Of New Jersey, LLC (Hackettstown, NJ) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Lopez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list John Lopez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Lopez affiliated with any hospitals?

According to CMS data, John Lopez is affiliated with Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for John Lopez was last updated on July 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.