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DR. EDNA RETIRACION LOPEZ-MASLAK M.D.
NPI 1396716767
Pediatrics in Bloomfield, NJ

Active since February 01, 2006PECOS Enrolled
206 BELLEVILLE AVE STE 202, BLOOMFIELD, NJ 07003(973) 743-0202(973) 743-0777 Get Directions Write a Review

NPPES record last updated: January 16, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 16, 2019, Dec 12, 2017, Nov 23, 2015 (3 updates tracked since 2015).

About Dr. Edna Retiracion Lopez-maslak M.d. NPPES

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

DR. EDNA RETIRACION LOPEZ-MASLAK M.D. (NPI 1396716767) is an individual pediatrics provider in Bloomfield, New Jersey, licensed in New Jersey (MA0653880) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396716767
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. EDNA RETIRACION LOPEZ-MASLAKCredential: M.D.
Location Address206 BELLEVILLE AVE STE 202Bloomfield, NJ 07003-3589
Mailing AddressLb# 7550 Po Box 95000Philadelphia, PA 19195-7550 · (844) 362-1735 · Fax (973) 290-7495
Phone(973) 743-0202
Fax(973) 743-0777
Sole ProprietorYes
Enumeration DateFebruary 1, 2006
Last NPPES UpdateJanuary 16, 20193 updates tracked since enumeration
✔ NPI 1396716767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · MA0653880
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
206 BELLEVILLE AVE STE 202, Bloomfield, NJ 07003
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edna Retiracion Lopez-maslak M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Edna Lopez-maslak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rwjbh Primary Care Services
6.4 mi
Internal Medicine
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 428 clinicians in this Medicare group
NPI 1265037501 (973) 322-5000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07003 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

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

MIRIAM JOSEPH
Nurse Practitioner (Family)
206 BELLEVILLE AVE STE 202
BLOOMFIELD, NJ 07003
Essex County (973) 748-9500

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 Edna Lopez-maslak's NPI number?

The NPI number for Edna Lopez-maslak is 1396716767. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Edna Lopez-maslak located?

Edna Lopez-maslak practices at 206 Belleville Ave Ste 202, Bloomfield, NJ 07003. The listed phone number is (973) 743-0202.

What is Edna Lopez-maslak's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Edna Lopez-maslak enrolled in Medicare?

Yes. Edna Lopez-maslak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edna Lopez-maslak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edna Lopez-maslak reassigns Medicare benefits to Rwjbh Primary Care Services (West Orange, NJ). The 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 Edna Lopez-maslak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edna Lopez-maslak accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Edna Lopez-maslak 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.

When was this NPI record last updated?

The NPPES record for Edna Lopez-maslak was last updated on January 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.