Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy Albert Lopez, PA

Individual provider Surgical Physician Assistant · NPI 1174014385

Timothy Albert Lopez, PA is a Physician Assistant in Oradell, New Jersey. Qualified in 2018, 8 years ago. Practices with New Jersey Brain and Spine PC, a 38-clinician group and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

680 Kinderkamack Rd Ste 300
Oradell, NJ 07649-1600
Phone: (201) 342-2550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1174014385
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedMay 23, 2018
Last updated in NPPESMay 23, 2018
Mailing address680 Kinderkamack Rd Ste 300, Oradell, NJ 07649-1600

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice New Jersey Brain And Spine Pc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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