Individual provider Active NPI

Yulius Poplyansky, MD

  • Internal Medicine Physician
  • Aventura, FL
National Provider Identifier
1174557102
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME98351 Issued in FL
Practice address
2801 NE 213TH St
Aventura, FL 33180-1263
Phone
(305) 459-3245
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 42317 NJ
Internal Medicine Physician 207R00000X ME98351 FL Primary

Addresses

Primary practice location

2801 NE 213TH St
Aventura, FL 33180-1263

Mailing address

2845 Aventura Blvd.
Chen Medical Aventura Inc
Aventura, FL 33180-3118
Phone (305) 466-7333

Other practice location 1

2845 Aventura Blvd.
Chen Medical Aventura Inc
Aventura, FL 33180-3118
Phone (305) 466-7333

Other identifiers 1

IdentifierTypeStateIssuer
4832701MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42317NJMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1174557102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 AVENTURA BLVD.",
            "address_2": "CHEN MEDICAL AVENTURA INC",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803118",
            "telephone_number": "305-466-7333",
            "fax_number": "305-466-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NE 213TH ST",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801263",
            "telephone_number": "305-459-3245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2845 Aventura Blvd.",
            "address_2": "Chen Medical Aventura Inc",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331803118",
            "country_code": "US",
            "telephone_number": "305-466-7333",
            "fax_number": "305-466-7364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPLYANSKY",
        "first_name": "YULIUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "42317",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME98351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4832701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.