Stuart Roy Cooperman

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33276 Issued in NY

Practice address

21221A 73Rd Ave
Oakland Gardens, NY 11364-2850

Phone

(718) 229-0322

Fax

(718) 426-5466

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033328281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21221A 73RD AVE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642850",
            "telephone_number": "718-229-0322",
            "fax_number": "718-426-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21221A 73RD AVE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642850",
            "telephone_number": "718-229-0322",
            "fax_number": "718-426-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPERMAN",
        "first_name": "STUART",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "33276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam I Cohen, D.P.T.
• Danna Yomary Colon Hiche, RDH
• Rick Conetta, M.D.
• Marie M Confident
• Consciously Connected Corp
• Corbin Family Dental Arts Too LLP
• Core PT Ny, PLLC
• Cecilia S. Cruz, O.T.
• Lan Cui
• Yongsheng Cui, L.AC DIPL.O.M

• General Practice Dentistry in Oakland Gardens, NY
• Providers in Oakland Gardens, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.