Doctor profile · Federal record
Dr. Jacqueline Lopez, RPA-C
Surgical Physician Assistant (CMS: Physician Assistant) · Surgical Physician Assistant · Bay Shore, NY
- NPI 1477828952
- Accepts Medicare
- MIPS 85.0 / 100 · 2023
- 14 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
301 E Main St
Bay Shore, NY 117068408
(516) 521-3744 - Additional location
-
259 1St St
Mineola, NY 115013957
(516) 663-0333 - Mailing address
-
3 Clover Ln
Kings Park, NY 117543914
Credentials & registration
- NPI registered
- March 2012 — 14 yrs on file
- Profile last updated
- June 13, 2019
- Year of graduation
- 2012 — 14 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State license (1)
- New York #23015496
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1477828952. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$1,592
Transactions
10
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| INTUITIVE SURGICAL, INC. | 10 | $1,592.21 |
By nature of payment
Frequently asked questions
What is Dr. Jacqueline Lopez's medical specialty?
Dr. Jacqueline Lopez practices Surgical Physician Assistant in Bay Shore, NY.
Where does Dr. Jacqueline Lopez practice?
Dr. Jacqueline Lopez practices at 301 E Main St, Bay Shore, NY 117068408. Office phone: 5165213744.
What is Dr. Jacqueline Lopez's NPI?
Dr. Jacqueline Lopez's National Provider Identifier (NPI) is 1477828952, issued by NPPES.
Does Dr. Jacqueline Lopez accept Medicare assignment?
Yes. Dr. Jacqueline Lopez accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.