Active NPI
Vince Popesco
- Psychiatry Physician
- Jamaica, NY
National Provider Identifier
1073560082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 184828
- Practice address
- 182-15 Hillside Ave
Jamaica, NY 11432 - Phone
- (718) 291-8200
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 184828 | NY | Primary |
Addresses
Primary practice location
182-15 Hillside Ave
Jamaica, NY 11432
Mailing address
88-34 74TH Ave
Glendale, NY 11385
Phone (917) 848-8398
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01302469 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 184828 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Side Medical and Diagnostics Services, PC | Psychiatry | Past | Accepting new patients |
| Kent D Shinbach MD PC | Past | Accepting new patients | |
| East Side Psychiatric Services, PC | Psychiatry | Past | Accepting new patients |
| New York Psychotherapy and Counseling Center | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- New York, NY
- NPI 1396782637
Psychiatry
-
- Psychiatry Physician
- New York, NY
- NPI 1548208226
-
- Legal Medicine
- New York, NY
- NPI 1578521456
-
- Community/Behavioral Health Agency
- Jamaica, NY
- NPI 1902811342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1073560082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88-34 74TH AVE",
"city": "GLENDALE",
"state": "NY",
"postal_code": "11385",
"telephone_number": "917-848-8398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "182-15 HILLSIDE AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11432",
"telephone_number": "718-291-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPESCO",
"first_name": "VINCE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "184828",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01302469",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.