LYSANDRA LEAH LOPEZ
NPI 1790239945
Student in an Organized Health Care Education/Training Program in Bronx, NY
About Lysandra Leah Lopez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYSANDRA LEAH LOPEZ (NPI 1790239945) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lysandra Leah Lopez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Good Samaritan Hospital Medical Center
Acute Care Hospitals · West Islip, NYReferred 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.
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.
BRONX, NY 10467
BRONX, NY 10467
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 Lysandra Lopez's NPI number?
The NPI number for Lysandra Lopez is 1790239945. It was assigned to this individual provider in the NPPES registry on August 4, 2016. The provider is also known as Lysandra Leah Caceres PA.
Where is Lysandra Lopez located?
Lysandra Lopez practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-4321.
What is Lysandra 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 Lysandra Lopez enrolled in Medicare?
Yes. Lysandra Lopez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Lysandra Lopez affiliated with any hospitals?
According to CMS data, Lysandra Lopez is affiliated with Good Samaritan Hospital Medical Center.
When was this NPI record last updated?
The NPPES record for Lysandra Lopez was last updated on August 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Lysandra Leah Lopez · NPI 1790239945
Student in an Organized Health Care Education/Training Program provider in Bronx, New York. Individual provider, active in the CMS NPPES registry since August 4, 2016.
## Identity
- **NPI:** 1790239945 (Entity type: Individual)
- **Enumerated:** August 4, 2016
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 111 E 210TH ST, Bronx, NY 10467-2401
- **Phone:** (718) 920-4321
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** August 4, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1790239945) · Data from the CMS NPPES public registry.