PREDRAG POPOVIC (NPI# 1073550562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073550562 |
| Entity Type | Individual |
| Full Name | PREDRAG POPOVIC |
| Credential | MD |
| Practice Address |
5141 Broadway New York NY 10034-1159 |
| Mailing Address |
630 W 168th St # 4 New York NY 10032-3725 |
| Practice Telephone | 2129325218 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2017-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
242475 | NY | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 4301064159 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
5141 BROADWAY |
| City | NEW YORK |
| State | NY |
| Zip Code | 10034-1159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780677427 | Donald Matthew Kim | Internal Medicine | 5141 Broadway, Rm 2-095, New York, NY 10034-1159 | 2005-08-29 |
| 1063011534 | Rabiah Arooj Toppa | Physician Assistant | 5141 Broadway, New York, NY 10034-1159 | 2020-10-25 |
| 1952900599 | Renee Elizabeth Alexander | Physician Assistant | 5141 Broadway, New York, NY 10034-1159 | 2020-10-24 |
| 1548870967 | Julie Abraham | Occupational Therapist | 5141 Broadway, New York, NY 10034-1159 | 2020-08-01 |
| 1215551312 | Alana Ruth Ribowsky | Registered Nurse | 5141 Broadway, New York, NY 10034-1159 | 2020-06-04 |
| 1508492588 | Joshua Silberbush | Registered Nurse | 5141 Broadway, New York, NY 10034-1159 | 2020-03-21 |
| 1760015275 | Susan Marie Konish | Nurse Practitioner | 5141 Broadway, New York, NY 10034-1159 | 2020-02-13 |
| 1508497884 | Darya Korshukova | Physician Assistant | 5141 Broadway, New York, NY 10034-1159 | 2020-01-27 |
| 1447896196 | Diana Kim | Pharmacist | 5141 Broadway, New York, NY 10034-1159 | 2019-11-18 |
| 1386289007 | Elizabeth Catherine Medina | Registered Nurse | 5141 Broadway, New York, NY 10034-1159 | 2019-11-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812512 | Vilma Lantigua | Physician Assistant | 90 Vermilyea Ave #139, New York, NY 10034 | 2019-10-11 |
| 1477037125 | Alexa Paige Ruffino | Physician Assistant | 5105 Broadway, New York, NY 10034 | 2018-09-19 |
| 1821514456 | Chinara M Tate | Dietitian, Registered | 520 W 218th Street, Apt 3a, New York, NY 10034 | 2017-08-15 |
| 1770006165 | Brittany Palmer | Speech-Language Pathologist | 10 Park Ter E Apt 4l, New York, NY 10034 | 2017-07-18 |
| 1457891947 | Easy Choice Agency | Home Health | 3863 10th Avenue, Ny, NY 10034 | 2017-03-02 |
| 1598114738 | Kent Haina Jr. | Nurse Anesthetist, Certified Registered | 133 Seaman Ave Apt 5a, New York, NY 10034 | 2016-06-08 |
| 1902274756 | Rosa Ma Caram | Early Intervention Provider Agency | 601 Kappock St., Apt. 4e, Bronx, NY 10034 | 2015-09-10 |
| 1104232040 | Michael Kwakye | General Practice | 5030 Broadway Ste 816, New York, NY 10034 | 2014-07-10 |
| 1619389624 | Jay Steven Reidler | Orthopaedic Surgery | Columbia Orthopedics, 5141 Broadway, 3 Field West, New York, NY 10034 | 2014-05-25 |
| 1467718247 | Sherman Medical Care, PC | Internal Medicine | 231 Sherman Ave, 1f, New York, NY 10034 | 2012-04-06 |
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| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1871153767 | Judith Alyce Salerno | Internal Medicine | 300 E 64th St Apt 27a, New York, NY 10065-7548 | 2019-06-13 |
| 1396259826 | Irina Powers Medical Pllc | Internal Medicine | 1562 1st Ave # 308, New York, NY 10028-4004 | 2017-11-20 |
| 1073980744 | Young Soo Lee | Internal Medicine | 211 E 13th St, 4e, New York, NY 10003-5691 | 2015-08-28 |
| 1184007270 | Fiorella Myrella Perez | Internal Medicine | 1 Gustave L Levy Pl # 1070, New York, NY 10029 | 2015-07-07 |
| 1790110195 | Maria Guadalupe Ramos Mendez | Internal Medicine | 440 West 114th Street, Suite 220, New York, NY 10025 | 2013-09-05 |
| 1871927798 | Esther Ugonma Chijioke | Internal Medicine | 101 W 147th St Apt 2e, New York, NY 10039-4367 | 2013-08-27 |
| 1063786887 | Alwin Buenaventura Calderon | Internal Medicine | 201 E. 87th Street, Apartment 19-h, New York, NY 10128 | 2012-02-24 |
| 1225354442 | Allen J. Bennett, M.d.,p.c. | Internal Medicine | 39 Gramercy Park N, Suite 1b, New York, NY 10010-6302 | 2010-04-13 |
| 1942524178 | Slrhc Faculty Practice | Internal Medicine | 2771 Frederick Douglass Boulevard, New York, NY 10039 | 2010-03-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.