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JENNIFER LOPEZ MD
NPI 1679193700
Family Medicine in Berlin, NY

Active since April 18, 2020
46 S MAIN ST, BERLIN, NY 12022(845) 416-3094 Get Directions Write a Review

NPPES record last updated: April 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Lopez Md NPPES

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

JENNIFER LOPEZ MD (NPI 1679193700) is an individual family medicine provider in Berlin, New York, licensed in New York (189255) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1679193700
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJENNIFER LOPEZCredential: MD
Location Address46 S MAIN STBerlin, NY 12022-7730
Mailing AddressPo Box 89Berlin, NY 12022-0089 · (845) 416-3094
Phone(845) 416-3094
Sole ProprietorYes
Enumeration DateApril 18, 2020
NPPES CertifiedApril 18, 2020
✔ NPI 1679193700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 189255
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
46 S MAIN ST, Berlin, NY 12022
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Other Names 1

Former Name (1)Jennifer Gallant

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 Jennifer Lopez's NPI number?

The NPI number for Jennifer Lopez is 1679193700. It was assigned to this individual provider in the NPPES registry on April 18, 2020. The provider is also known as Jennifer Gallant.

Where is Jennifer Lopez located?

Jennifer Lopez practices at 46 S Main St, Berlin, NY 12022. The listed phone number is (845) 416-3094.

What is Jennifer Lopez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Lopez was last updated on April 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.