TIMOTHY ALBERT LOPEZ (PA) – Surgical Physician Assistant, NPI 1174014385

TIMOTHY ALBERT LOPEZ (PA) is a healthcare provider. based in Oradell, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for TIMOTHY ALBERT LOPEZ (PA) is 1174014385

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY ALBERT LOPEZ (PA)
NPI
1174014385
Phone
(201) 342-2550
Address
680 KINDERKAMACK RD STE 300
Enumeration Date
23 May 2018
Last Update Date
23 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2013422550
Graduation Year
2018 (8 years ago)
PAC ID
4880942762
Group Practice PAC ID
8123013802
Professional Enrollment ID
I20180809000675
Address ID
NJ076451811MO32XXXPKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

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Provider Addresses for TIMOTHY ALBERT LOPEZ (PA)

  • Kinderkamack Road, Oradell, Bergen County, New Jersey, 07642, United States

    ORADELL, NJ 076491600

    Phone: (201) 342-2550

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $137.

Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.

Last reported payment date: 2023-08-04 • Largest payer in this snapshot: Integra LifeSciences Corporation ($137).

Total Amount

$137

General + Research + Ownership

Payments

1

Total payment records

General Amount

$137

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180809000675IPhysician AssistantNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9458$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5757$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2016$0
View full utilization report →

Insurance plans in this area (ZIP 07649)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123013802View full group profile
NameSpecialtyState
N E U R O L O G YNY
Physician AssistantNJ
Physician AssistantNJ
Physician AssistantNJ
Physician AssistantNJ
Nurse PractitionerNJ
Physician AssistantNJ
N E U R O S U R G E R YNJ
Neurology, Neurology, NeuropsychiatryNJ
-NJ

Reviews

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Frequently asked questions

What federal number belongs to TIMOTHY ALBERT LOPEZ (PA)?
The federal identifier for TIMOTHY ALBERT LOPEZ (PA) is NPI 1174014385.
Does this profile mean TIMOTHY ALBERT LOPEZ (PA) is currently active?
Yes — TIMOTHY ALBERT LOPEZ (PA) appears active in the national provider directory.
Can you summarize TIMOTHY ALBERT LOPEZ (PA)'s specialty in plain language?
Clinically, the directory lists TIMOTHY ALBERT LOPEZ (PA) with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place TIMOTHY ALBERT LOPEZ (PA)?
The snapshot lists Oradell, New Jersey for TIMOTHY ALBERT LOPEZ (PA); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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