NPIMap

Individual provider Active NPI

Vincentiu Popa, MD

  • Interventional Pain Medicine Physician
  • Franklin Lakes, NJ
National Provider Identifier
1083684401
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MA08106100 Issued in NJ
Practice address
719 Butternut Dr
Franklin Lakes, NJ 07417-2281
Phone
(201) 925-0277
Fax
(888) 766-8193
NPI assigned
Jan 26, 2006
Last updated
May 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 228490 NY
Anesthesiology Physician 207L00000X 25MA08106100 NJ
Interventional Pain Medicine Physician 208VP0014X 25MA08106100 NJ Primary

Addresses

Primary practice location

719 Butternut Dr
Franklin Lakes, NJ 07417-2281

Mailing address

719 Butternut Dr
Franklin Lakes, NJ 07417-2281
Phone (201) 925-0277

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Pain Management LLC Current Accepting new patients
Brookhaven Anesthesia Associates, LLP Anesthesiology Past Accepting new patients
Richmond Physicians Services, P.C. Anesthesiology Past Accepting new patients
MPG Medical Services, PLLC PastSince Nov 7, 2011 Accepting new patients

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1083684401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 BUTTERNUT DR",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172281",
            "telephone_number": "201-925-0277",
            "fax_number": "888-766-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 BUTTERNUT DR",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172281",
            "telephone_number": "201-925-0277",
            "fax_number": "888-766-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPA",
        "first_name": "VINCENTIU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "228490",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08106100",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA08106100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.