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URIS MADELYNE LOPEZ
NPI 1578288957
Student in an Organized Health Care Education/Training Program in Woodside, NY

Active since October 07, 2022PECOS Enrolled
43-08 52ND STREET, 2ND FLOOR, WOODSIDE, NY 11377(718) 458-4243(000) 000-0000 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Uris Madelyne Lopez NPPES

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

URIS MADELYNE LOPEZ (NPI 1578288957) is an individual student in an organized health care education/training program in Woodside, New York and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1578288957
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameURIS MADELYNE LOPEZ
Location Address43-08 52ND STREET, 2ND FLOORWoodside, NY 11377-4542
Mailing Address4308 52nd St Fl 2Woodside, NY 11377-4542 · (718) 458-4243
Phone(718) 458-4243
Fax(000) 000-0000
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 7, 2022
NPPES CertifiedOctober 6, 2022
✔ NPI 1578288957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
43-08 52ND STREET, Woodside, NY 11377
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Uris Madelyne Lopez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365900149
PECOS Enrollment IDI20260821002837
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 Uris Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Interborough Developmental And Consultation Center, Inc.
9.6 mi
Case Management
1623 KINGS HWY
Brooklyn, NY 11229
  • Reassigned Medicare billing, New York enrollment
  • 306 clinicians in this Medicare group
NPI 1588611842 (718) 375-1200

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

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 Uris Lopez's NPI number?

The NPI number for Uris Lopez is 1578288957. It was assigned to this individual provider in the NPPES registry on October 7, 2022.

Where is Uris Lopez located?

Uris Lopez practices at 43-08 52nd Street 2nd Floor, Woodside, NY 11377. The listed phone number is (718) 458-4243.

What is Uris Lopez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Uris Lopez enrolled in Medicare?

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

Which organization bills Medicare for Uris Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Uris Lopez reassigns Medicare benefits to Interborough Developmental And Consultation Center, Inc. (Brooklyn, NY). 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 Uris Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Uris Lopez was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.