Active NPI
Robert Koppel, MD
- Neonatal-Perinatal Medicine Physician
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 192998
- Practice address
- Lijmc Dept of Pediatrics Div of Neonatal Medicine
269 01 76TH Avenue
New Hyde Park, NY 11040 - Phone
- (718) 470-3440
- NPI assigned
- Jan 24, 2007
- Last updated
- Jan 8, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 192998 | NY | Primary |
Addresses
Primary practice location
Lijmc Dept of Pediatrics Div of Neonatal Medicine
269 01 76TH Avenue
New Hyde Park, NY 11040
Mailing address
Lijmc Dept of Pediatrics Div of Neonatal Medicine
269 01 76TH Avenue
New Hyde Park, NY 11040
Phone (718) 470-3440
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 192998 | NY | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians of University Hospital, PC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| Physicians of University Hospital, PC | Current | Accepting new patients | |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| Long Island Jewish Medical Center | Past | Accepting new patients | |
| North Shore University Hospital | Past | Accepting new patients | |
| Nassau Health Care Corporation | Past | Accepting new patients |
Locations
2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862
2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
611 Northern Blvd
Great Neck, NY 11021
Phone (516) 325-7000
300 Community Dr
Manhasset, NY 11030
26901 76th Ave
New Hyde Park, NY 11040
Phone (718) 470-3000
27005 76th Ave
North New Hyde Pk, NY 11040
1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047
242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458
401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186
475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- rkoppel66860@northwell.direct-ci.com
- robertkoppel@nslijmedgr.allscriptsdirect.net
Organizations & group practices 10
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 Nassau Department of Psychiatry and Psychology, FPP
- General Acute Care Hospital
- East Meadow, NY
- NPI 1902822992
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Geriatric Medicine (Internal Medicine) Physician
- Staten Island, NY
- NPI 1417901323
-
- General Acute Care Hospital
- East Meadow, NY
- NPI 1194741181
-
dba NUMC Department of Family Medicine, FPP
- General Acute Care Hospital
- East Meadow, NY
- NPI 1730530940
-
dba NSLIJ Medical In Queens
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Anesthesiology Physician
- Bay Shore, NY
- NPI 1023513116
-
dba Steven & Alexandra Cohen Children's Medical Center of New York
- Children's Hospital
- New Hyde Park, NY
- NPI 1174530349
-
dba Nassau University Medical Center
- General Acute Care Hospital
- East Meadow, NY
- NPI 1801857172
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357603200000",
"number": "1205981958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LIJMC DEPT OF PEDIATRICS DIV OF NEONATAL MEDICINE",
"address_2": "269 01 76TH AVENUE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "11040",
"telephone_number": "718-470-3440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LIJMC DEPT OF PEDIATRICS DIV OF NEONATAL MEDICINE",
"address_2": "269 01 76TH AVENUE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "11040",
"telephone_number": "718-470-3440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPPEL",
"first_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2013-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NY",
"license": "192998",
"primary": true
}
],
"identifiers": [],
"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 Jan 8, 2013; 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.