JEFF D KOPELMAN (NPI# 1851363055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851363055 |
| Entity Type | Individual |
| Full Name | JEFF D KOPELMAN |
| Practice Address |
371 Merrick Rd Ste 204 Rockville Ctre NY 11570 |
| Practice Telephone | 5165364444 |
| Practice Fax Number | 5165364486 |
| Mailing Telephone | 5165364444 |
| Mailing Fax Number | 5165364486 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2011-03-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
162483 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VTRA | 22597 | 01 | |
| HLTHNT | 3C1114 | 01 | |
| PHCS | 113616761 | 01 | |
| HIP | 28679P | 01 | |
| OXF | AS626 | 01 | |
| MAGNA | 113616761 | 01 | |
| ONE | 113616761 | 01 | |
| GHI | 0059669 | 01 | |
| MULTEP | 113616761 | 01 | |
| AETNA | 4231401 | 01 | |
| CIGNA | 9347407002 | 01 | |
| FRT HLTH | 1308635 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497738900 | Jeff D Kopelman | Podiatrist | 4423 Central Ave, St Petersburg, FL 33713-8232 | 2005-11-29 |
| Street Address |
371 MERRICK RD STE 204 |
| City | ROCKVILLE CTRE |
| State | NY |
| Zip Code | 11570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462419 | Jessica Ilana Smuckler | Occupational Therapist | 90 S Park Ave Apt C2, Rockville Centre, NY 11570 | 2018-10-10 |
| 1356831309 | Pure Medical Services PC | Specialist | 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 | 2018-05-15 |
| 1447766449 | Licura, LLC | Technician, Other | 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 | 2017-12-28 |
| 1427505858 | Shera M Goodridge | Specialist | 134 Shellbank Place, Rockville Center, NY 11570 | 2016-09-01 |
| 1669830634 | Barbara Massina, Lcsw | Clinic/Center | 161 N Village Ave, Rockville Centre, NY 11570 | 2016-02-05 |
| 1972973428 | Medscript Pharmacy LLC | Pharmacy | 180-184 Sunrise Highway, Rockville Centre, NY 11570 | 2015-09-28 |
| 1265813703 | Jeffrey Michael Nozius | Registered Nurse | 1000 Hempstead Ave, Rockville Centre, NY 11570 | 2015-06-10 |
| 1568855971 | Meredith Kreinbihl | Counselor | 119 North Park Avenue, Suite 210, Rockville Centre, NY 11570 | 2015-03-09 |
| 1174921647 | Pamela Leake | Behavioral Analyst | 88 Hendrickson Ave, Rvc, NY 11570 | 2014-12-15 |
| 1467851584 | Lisa Brown-eisel, Lcsw, P.C. | Social Worker | 100 North Village Avenue, Suite 32, Rockville Centre, NY 11570 | 2014-08-14 |
| Find all providers in zip 11570 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245524370 | Jason Brian Wasserman | Otolaryngology | 210 - 33 26th Ave, Ground Level, Bayside, NY 11360-1949 | 2011-06-06 |
| 1841591765 | Jack Martin Shapiro | Otolaryngology | 147 Bacon Rd, Old Westbury, NY 11568 | 2010-11-09 |
| 1831341643 | Krishnakumar Thankappan | Otolaryngology | Dept of Head and Neck Roswell Park Cancer, Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2008-10-13 |
| 1235292855 | George J Braun | Otolaryngology | 38 E 38th St, New York, NY 10016-2505 | 2006-12-18 |
| 1811942220 | Oleh Slupchynskyj | Otolaryngology | 44 E 65th St, 1a, New York, NY 10021-7022 | 2006-05-23 |
| 1346629110 | Steven Andrew Gordon | Otolaryngology | 550 First Ave, Nyu Langone Medical Center, New York, NY 10016 | 2015-05-26 |
| 1043698608 | Nyc Metro Ent PC | Otolaryngology | 6273 Woodhaven Blvd, Rego Park, NY 11374-2832 | 2015-05-14 |
| 1396163747 | Ashley Paige O'connell Ferster | Otolaryngology | 2365 S Clinton Ave Ste 200, Rochester, NY 14618-2663 | 2014-04-02 |
| 1275824856 | Eric William Cerrati | Otolaryngology | 550 First Avenue, Nyu Langone Medical Center, New York, NY 10016 | 2011-04-29 |
| 1184858458 | Paul Raymond Young | Otolaryngology | 4955 N Bailey Ave, Suite 202, Amherst, NY 14226-1206 | 2009-05-14 |
| Find all providers with the same taxonomy | ||||
| City | ROCKVILLE CTRE |
| Zip Code | 11570 |
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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.