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DR. JOSE MIGUEL LOPEZ M.D.
NPI 1427150846
Internal Medicine in Denville, NJ

Active since September 05, 2006PECOS Enrolled
16 POCONO RD, SUITE 313, DENVILLE, NJ 07834(973) 625-0112(973) 625-0721 Get Directions Write a Review

NPPES record last updated: February 13, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jose Miguel Lopez M.d. NPPES

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

DR. JOSE MIGUEL LOPEZ M.D. (NPI 1427150846) is an individual internal medicine provider in Denville, New Jersey, licensed in New Jersey (25MA08397700) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427150846
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOSE MIGUEL LOPEZCredential: M.D.
Location Address16 POCONO RD, SUITE 313Denville, NJ 07834-2901
Mailing AddressPo Box 95000 Lb# 7550Philadelphia, PA 19195-7550 · (844) 362-1735 · Fax (973) 290-7495
Phone(973) 625-0112
Fax(973) 625-0721
Sole ProprietorNo
Enumeration DateSeptember 5, 2006
Last NPPES UpdateFebruary 13, 2018
✔ NPI 1427150846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA08397700
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
16 POCONO RD, Denville, NJ 07834
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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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jose Miguel Lopez 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.

Areas of Expertise CMS Part B claims

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
23 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07834 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers19 claims64 services$4.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ALANA M SCORZO APRN, FNP-BC
Nurse Practitioner (Family)
16 POCONO RD
DENVILLE, NJ 07834
Morris County (973) 586-3700
DR. MICHAEL GERARD GIRONTA DO
Internal Medicine
16 POCONO RD, SUITE 313
DENVILLE, NJ 07834
Morris County (973) 625-0112
CHARLES ROBERT BUSHONG JR. M.D.
Pediatrics
16 POCONO RD, SUITE 214
DENVILLE, NJ 07834
Morris County (973) 627-6129
LAKELAND UROLOGY L L C
Urology
16 POCONO RD, SUITE 302
DENVILLE, NJ 07834
Morris County (973) 627-3411
ASSOCIATES IN PULMONARY MEDICINE PA
Internal Medicine (Pulmonary Disease)
16 POCONO RD, 217
DENVILLE, NJ 07834
Morris County (800) 750-8616
DIAMOND SPRING DENTAL ASSOCIATES PA
Dentist
16 POCONO RD, SUITE 116
DENVILLE, NJ 07834
Morris County (973) 627-1220
DR. VINCENT CUBELLI M.D.
Urology
16 POCONO RD, SUITE 302
DENVILLE, NJ 07834
Morris County (973) 627-3411
DR. CEM S. OMAY M.D.
Obstetrics & Gynecology
16 POCONO RD
DENVILLE, NJ 07834
Morris County (973) 627-1400

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 Jose Lopez's NPI number?

The NPI number for Jose Lopez is 1427150846. It was assigned to this individual provider in the NPPES registry on September 5, 2006.

Where is Jose Lopez located?

Jose Lopez practices at 16 Pocono Rd Suite 313, Denville, NJ 07834. The listed phone number is (973) 625-0112.

What is Jose Lopez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jose Lopez enrolled in Medicare?

Yes. Jose Lopez is registered in the Medicare PECOS enrollment system.

What insurance does Jose Lopez accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Jose 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.

When was this NPI record last updated?

The NPPES record for Jose Lopez was last updated on February 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.