Active NPI
Andrew Popper, M.D.
- Psychiatry Physician
- Newton, MA
National Provider Identifier
1093894420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 234822
- Practice address
- 93 Union St Ste 401C
Newton, MA 02459-2254 - Phone
- (617) 731-1035
- Fax
- (617) 731-1031
- NPI assigned
- Nov 5, 2006
- Last updated
- Mar 20, 2023
- 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 | 234822 | MA | Primary |
Addresses
Primary practice location
93 Union St Ste 401C
Newton, MA 02459-2254
Mailing address
93 Union St Ste 401C
Newton, MA 02459-2254
Phone (617) 731-1035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 1, 2012 through Jun 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234822 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1093894420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 UNION ST STE 401C",
"city": "NEWTON",
"state": "MA",
"postal_code": "024592254",
"telephone_number": "617-731-1035",
"fax_number": "617-731-1031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 UNION ST STE 401C",
"city": "NEWTON",
"state": "MA",
"postal_code": "024592254",
"telephone_number": "617-731-1035",
"fax_number": "617-731-1031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPPER",
"first_name": "ANDREW",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-05",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "234822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.