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NICOLE MARIE LOPEZ-CANIZARES
NPI 1265919765
General Practice in New York, NY

Active since July 26, 2018PECOS Enrolled
245 5TH AVE STE 308, NEW YORK, NY 10016(646) 648-2307 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Marie Lopez-canizares NPPES

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

NICOLE MARIE LOPEZ-CANIZARES (NPI 1265919765) is an individual general practice provider in New York, New York, licensed in New York (322497) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Ponce.

NPPES Registry Identity

NPI1265919765
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameNICOLE MARIE LOPEZ-CANIZARES
Location Address245 5TH AVE STE 308New York, NY 10016-8728
Mailing Address230 20th St Apt 2fBrooklyn, NY 11232-0695 · (646) 648-2307
Phone(646) 648-2307
Sole ProprietorNo
Enumeration DateJuly 26, 2018
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedNovember 27, 2023
✔ NPI 1265919765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 322497
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
245 5TH AVE STE 308, New York, NY 10016
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Secondary Practice Location 1

Location 1388 Zona Ind Reparada 2Ponce, PR 00716-2347 · Phone (787) 840-2575

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Marie Lopez-canizares is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Nicole Lopez-canizares's NPI number?

The NPI number for Nicole Lopez-canizares is 1265919765. It was assigned to this individual provider in the NPPES registry on July 26, 2018.

Where is Nicole Lopez-canizares located?

Nicole Lopez-canizares practices at 245 5th Ave Ste 308, New York, NY 10016. The listed phone number is (646) 648-2307.

What is Nicole Lopez-canizares's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Nicole Lopez-canizares enrolled in Medicare?

Yes. Nicole Lopez-canizares is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Lopez-canizares was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.