Jacob Popper

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

065004 Issued in NY

Practice address

70 Glen Cove Rd Ste 206
Roslyn Heights, NY 11577-1730

Phone

(516) 621-2323

NPI assigned

Apr 11, 2019

Last updated

Sep 15, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jacob.popper.p1@direct.mmc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Popper Dental PLLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • New Hyde Park, NY
  • NPI 1861301517
  NPD (past) Authorized official

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1033672563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 ARLINGTON RD",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161236",
            "telephone_number": "215-806-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 GLEN COVE RD STE 206",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771730",
            "telephone_number": "516-621-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPPER",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-11",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "065004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marti Peretzman
• Jane Perr, M.D.
• Lori Robyne Pinchasick, R.D.
• Michael Politi, D.O
• Stacy Popkin-Zang, PSYD
• Precision Cardiology Consulting LLC
• Daniela Prestia, RN
• Professional Therapeutic Associates
• Psychological Wellness and Support, PLLC
• Pulmonary Sleep Diagnostics

• Oral and Maxillofacial Surgery (Dentist) in Roslyn Heights, NY
• Providers in Roslyn Heights, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.