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

Lisa Lopez

Individual provider Physician Assistant · NPI 1760025134

Lisa Lopez is a Physician Assistant in New York, New York. Graduated from City University of New York School of Medicine in 2021, 5 years ago. Practices with Stony Brook Internists University Faculty Practice Corporation, a 428-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Trained at
City University of New York School of Medicine
Licensed in
NY
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

160 Convent Ave The Cuny School Of Medicine- Pa Program Ofc
New York, NY 10031
Phone: (212) 650-7812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 026454 (NY)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1760025134
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 17, 2019
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolCITY UNIVERSITY OF NEW YORK SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Stony Brook Internists University Faculty Practice Corporation — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Stony Brook Internists University Faculty Practice Corporation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 428 clinicians in the practice; 12 are shown here.

Other providers in New York