Organization Active NPI

Laura Popper, MD. PC

  • Pediatric Adolescent Medicine Physician
  • New York City, NY
National Provider Identifier
1114511409
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
LAURA POPPER, MD. PC
Practice address
116 East 66TH Street
#1C
New York City, NY 10065
Phone
(212) 794-2136
Fax
(212) 734-0855
NPI assigned
Feb 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Authorized official

Name
Mrs. Kathleen Eillore Harris, AM
Title
Practice Manager
Phone
(212) 794-2136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

116 East 66TH Street
#1C
New York City, NY 10065

Mailing address

116 East 66TH Street
#1C
New York City, NY 10065
Phone (212) 794-2136

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0129959Laura Popper MD116 East 66TH Street, Suite 1C, New York, NY 10065Certificate of waiverAug 4, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1114511409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 EAST 66TH STREET",
            "address_2": "#1C",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10065",
            "telephone_number": "212-794-2136",
            "fax_number": "212-734-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 EAST 66TH STREET",
            "address_2": "#1C",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10065",
            "telephone_number": "212-794-2136",
            "fax_number": "212-734-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA POPPER, MD. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "EILLORE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "212-794-2136",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AM"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.