Jeffrey Alan Kopman, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

048380 Issued in NY

Practice address

205 E Main St
Suite 202
Huntington, NY 11743-2923

Phone

(631) 427-5917

Fax

(631) 424-4045

NPI assigned

May 22, 2007

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 16, 2023 through Oct 16, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Asnis Dental PLLC

  • Dentist
  • Melville, NY
  • NPI 1245963875
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093924383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E MAIN ST",
            "address_2": "SUITE 202",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432923",
            "telephone_number": "631-427-5917",
            "fax_number": "631-424-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E MAIN ST",
            "address_2": "SUITE 202",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432923",
            "telephone_number": "631-427-5917",
            "fax_number": "631-424-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPMAN",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "048380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KLK Sleep Labs, Inc
• William F Knaupp, MD
• Andrew Tsong-Yuan Ko, MD
• Dodis Kohan, MD
• Cristy Kokell-Grassi, PA
• Amy R Koreen, M.D.
• Jason Koreen
• Roger Koreen, MD
• Ralph Kornblatt, OD
• Amy Helen Korobow

• Periodontics in Huntington, NY
• Providers in Huntington, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.