GIOVANNI LOPEZ FNP, BC, LAC.
NPI 1649498775
Nurse Practitioner - Family in Brentwood, NY

Q: What is Giovanni Lopez's NPI number?

The NPI number for Giovanni Lopez is 1649498775. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Q: What is Giovanni Lopez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Giovanni Lopez was last updated on August 20, 2021. 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.

Active since April 23, 2007PECOS Enrolled

2025 BRENTWOOD RD, BRENTWOOD, NY 11717(631) 234-4949(631) 234-3307 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 20, 2021, Oct 10, 2019, Oct 2, 2018 and 1 more (4 updates tracked since 2018).

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About Giovanni Lopez Fnp, Bc, Lac. NPPES

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

GIOVANNI LOPEZ FNP, BC, LAC. (NPI 1649498775) is an individual family provider in Brentwood, New York, licensed in New York (342801) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649498775

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameGIOVANNI LOPEZCredential: FNP, BC, LAC.

Location Address2025 BRENTWOOD RDBrentwood, NY 11717

Mailing Address2025 Brentwood RdBrentwood, NY 11717-4656 · (631) 234-4949 · Fax (631) 234-3307

Phone(631) 234-4949

Fax(631) 234-3307

Sole ProprietorYes

Enumeration DateApril 23, 2007

Last NPPES UpdateAugust 20, 20214 updates tracked since enumeration

NPPES CertifiedAugust 20, 2021

✔ NPI 1649498775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 342801

2025 BRENTWOOD RD, Brentwood, NY 11717

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Giovanni Lopez Fnp, Bc, Lac. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11717 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 7

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

GENUINE CARE PHYSICAL THERAPY PC

Clinic/Center (Physical Therapy)