Spine Specialist
NPI 1407165111ActiveOrganization· Chiropractor, Neurology· Clifton, NJ
Chiropractor, Neurology in Clifton, New Jersey, registered in NPPES in September 2010. The authorized official on file is Marco Antonio Lopez, DC, Doctor/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407165111 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 29, 2010 |
| Last updated in NPPES | May 4, 2020 |
| Certified by provider | May 4, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor, Neurology Primary | 111NN0400X | 38MC00673900 | NJ |
| Chiropractor, Neurology | 111NN0400X | X0116921 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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