DR. MELVIN DAVID KOPLOW (NPI# 1437175023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437175023 |
| Entity Type | Individual |
| Full Name | DR. MELVIN DAVID KOPLOW |
| Credential | DO |
| Practice Address |
531 Huguenot Ave Staten Island NY 10312-2658 |
| Practice Telephone | 7189486162 |
| Practice Fax Number | 7187954371 |
| Mailing Telephone | 7189486162 |
| Mailing Fax Number | 7187954371 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2013-01-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
113907 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00735213 | 05 |
| Street Address |
531 HUGUENOT AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10312-2658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| 1407403876 | Shannen Rogozin | Occupational Therapist | 85 Macon Ave, Staten Island, NY 10312 | 2019-08-21 |
| 1972076107 | Alla Nusonovna Adler | Nurse Practitioner | 76winchester Ave, Staten Island, NY 10312 | 2019-01-10 |
| 1427559145 | Kelly Diefenthaler | Occupational Therapist | 165 Sheldon Avenue, Staten Island, NY 10312 | 2018-02-27 |
| 1316446776 | Maria Kathleen Caras | Counselor | 3930 Richmond Ave, #105, Staten Island, NY 10312 | 2018-02-12 |
| 1487172904 | Melissa Alter | Counselor | 31 Regent Circle, Staten Island, NY 10312 | 2017-09-05 |
| 1821515321 | Paul Abraham Benjamin | Pharmacist | 127 Wainwright Avenue, Staten Island, NY 10312 | 2017-08-24 |
| 1588180277 | Heloisa Vilas Boas | Specialist | 140 Laredo Avenue, Staten Island, NY 10312 | 2017-08-15 |
| 1245778604 | Lisa Marie Cutrona | Speech-Language Pathologist | 536 Wilson Ave., Staten Island, NY 10312 | 2017-02-06 |
| 1922468016 | Salvatrice Gaston | Licensed Practical Nurse | 97 Forest Green, Staten Island, NY 10312 | 2016-03-02 |
| Find all providers in zip 10312 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497815773 | Lyudmila Pekarsky | Pediatrics | 356 Delaware Ave, Staten Island, NY 10305-2306 | 2006-12-09 |
| 1396859583 | Joel Irwin Stakofsky | Pediatrics | 209 Steinway Ave, Staten Island, NY 10314-4820 | 2006-08-18 |
| 1811962681 | Helena Gottlieb | Pediatrics | 149 Merrymount St, Staten Island, NY 10314-4844 | 2006-02-23 |
| 1801869565 | Ila Sukhadia | Pediatrics | 1235 Arden Ave, Staten Island, NY 10312-4148 | 2006-02-10 |
| 1104897602 | Joseph F Castellano | Pediatrics | 41 Brunswick St, Staten Island, NY 10314-6017 | 2006-02-01 |
| 1942475868 | Sam A. Leuzzi | Pediatrics | 78 Cromwell Ave, Suite B, Staten Island, NY 10304-3933 | 2008-04-23 |
| 1508933029 | Sam A. Leuzzi | Pediatrics | 78 Cromwell Ave, Staten Island, NY 10304-3933 | 2006-11-29 |
| 1497738553 | Grace Matthew | Pediatrics | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2005-11-22 |
| 1285617365 | April Lee | Pediatrics | 242 Mason Ave, Staten Island, NY 10305-3408 | 2005-11-22 |
| 1043293129 | Edward D Mccabe | Pediatrics | 242 Mason Ave, Staten Island, NY 10305-3408 | 2005-11-22 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10312 |
Please comment or provide details below to improve the information on DR. MELVIN DAVID KOPLOW.
| 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.