Vincentiu Popa, MD

Key facts

NPI

1083684401

Entity type

Individual (NPI type 1)

Primary specialty

Interventional Pain Medicine Physician 208VP0014X

License

25MA08106100 (NJ)

Practice address

719 Butternut Dr
Franklin Lakes, NJ 07417-2281

Phone

(201) 925-0277

Fax

(888) 766-8193

NPI assigned

Jan 26, 2006

Sex

Male

Sole proprietor

Yes

Organizations & group practices 3

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.

• Orlando Pain Management LLC Pain Medicine (Anesthesiology) Physician · Altamonte Springs, FL · NPI 1174023345
  NPD Authorized official
• Brookhaven Anesthesia Associates, LLP Anesthesiology Physician · Patchogue, NY · NPI 1164599965
  NPD (past) ANESTHESIOLOGY
• Richmond Physicians Services, P.C. Anesthesiology Physician · Staten Island, NY · NPI 1740210137
  NPD (past) ANESTHESIOLOGY

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 3, 2017.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02442895",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Lakes, NJ

• Chloe Phillips, MD
• Robert Thomas Piccoli, DDS
• Paul Matthew Piergentile, D.C.
• Shawna Poltricitsky, PT, DPT, OCS, PCES
• Madison Pomerantz, MD
• Ernest Jeffrey Pope, M.D.
• Lydia Joy Presto, PT, DPT
• Psych-Ed Services, Inc
• Rafik Youssef
• Roya Rahimi, PA-C, CNMT

All providers in Franklin Lakes, NJ · Interventional Pain Medicine Physician in New Jersey