Dr. Edna Retiracion Lopez-Maslak, M.D.
Pediatrics in Bloomfield, NJ. Individual provider (NPI-1).
NPI number1396716767
StatusActive
Last updated in NPPESJan 16, 2019
Details
- NPI
- 1396716767
- Entity type
- Individual (NPI-1)
- Name
- Dr. Edna Retiracion Lopez-Maslak
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 1, 2006
- Last updated
- Jan 16, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PEDIATRIC MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | MA0653880 | NJ | Yes |
Practice location
206 Belleville Ave Ste 202Bloomfield, NJ 07003-3589
Phone 973-743-0202 · Fax 973-743-0777
Mailing address
Lb# 7550 Po Box 95000Philadelphia, PA 19195-7550
Phone 844-362-1735 · Fax 973-290-7495
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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