Active NPI
Mary Anne Popcun, NP
- Nurse Practitioner
- New Hyde Park, NY
National Provider Identifier
1144371865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F380643
- Practice address
- 26901 76TH Ave
New Hyde Park, NY 11040-1433 - Phone
- (718) 470-3000
- NPI assigned
- Jan 16, 2007
- Last updated
- Aug 5, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F380643 | NY | Primary |
Addresses
Primary practice location
26901 76TH Ave
New Hyde Park, NY 11040-1433
Mailing address
26901 76TH Ave
New Hyde Park, NY 11040-1433
Phone (718) 470-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02245114 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F380643 | NY | MD | Nurse Practitioner |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- maryanne.popcun@ghuc.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1144371865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 76TH AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110401433",
"telephone_number": "718-470-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26901 76TH AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110401433",
"telephone_number": "718-470-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPCUN",
"first_name": "MARY",
"middle_name": "ANNE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F380643",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02245114",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.