MEDICARE: MADILIZ LOPEZ FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F355161-01	NY

General Provider Information

NPI Number	:	1962221481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADILIZ LOPEZ FNP

Provider Business Mailing Address
First Line	:	11805 METROPOLITAN AVE
Second Line	:
City	:	KEW GARDENS
State	:	NY
Zip	:	11415-2020
Country	:	US
Telephone Number	:	347-238-1550
Fax Number	:

Provider Business Practice Location Address
First Line	:	11805 METROPOLITAN AVE
Second Line	:
City	:	KEW GARDENS
State	:	NY
Zip	:	11415-2020
Country	:	US
Telephone Number	:	347-238-1550
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2024
Last Update Date	:	05/05/2026

Similar Medicare Providers

1275460339 — ELEVATED PRIMARY CARE
Practice Location Address:

11805 METROPOLITAN AVE
KEW GARDENS, NY
11415-2020

Practice Phone: 347-238-1550
Practice Fax:

1841398872 — KEW GARDENS DRUG CORP
Practice Location Address:

11807 METROPOLITAN AVE
KEW GARDENS, NY
11415-2020

Practice Phone: 718-849-6700
Practice Fax: 718-849-1659

1184769051 — N&B PHARMACY INC
Practice Location Address:

118-29A METROPOLITAN AVE
KEW GARDENS, NY
11415-2020

Practice Phone: 718-487-8100
Practice Fax: 718-487-8300

1568646503 — SADIA SHUJA
Practice Location Address:

11807 METROPOLITAN AVE
KEW GARDENS, NY
11415-2020

Practice Phone: 718-849-6700
Practice Fax:

1528294568 — METRO-OPTICA EYEWEAR, INC.
Practice Location Address:

11827 METROPOLITAN AVE
KEW GARDENS, NY
11415-2020

Practice Phone: 718-850-0050
Practice Fax: 718-850-0056

1710117908 — HEALTH SOURCE PLUS PHARMACY, LLC.
Practice Location Address:

11807 METROPOLITAN AVE
KEW GARDENS, NY
11415-2020

Practice Phone: 718-849-6700
Practice Fax: 718-849-1659

Directions to “ MADILIZ LOPEZ FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.