Individual provider · Type 1 NPI
Timothy Albert Lopez, PA
Surgical Physician Assistant · Hackensack, NJ
NPI number
1174014385
Active
Practice location
20 Prospect Ave Ste 902
Hackensack, NJ 07601-1989
Fax (201) 342-7171
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1174014385
Timothy Albert Lopez, PA's National Provider Identifier is 1174014385, issued on May 23, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hackensack, NJ. The record was last updated on Oct 30, 2026.