Individual provider Active NPI

Marinela Popaj, PA

  • Physician Assistant
  • Bronx, NY
National Provider Identifier
1225486921
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
23019696 Issued in NY
Practice address
3713 E Tremont Ave
Bronx, NY 10465-2054
Phone
(718) 597-4878
NPI assigned
Jun 3, 2016
Last updated
Jun 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 23019696 NY Primary

Addresses

Primary practice location

3713 E Tremont Ave
Bronx, NY 10465-2054

Mailing address

2232 47TH St
Astoria, NY 11105-1310
Phone (248) 766-2957

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
019696NYMDClinical Psychologist
23019696NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1225486921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 47TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051310",
            "telephone_number": "248-766-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652054",
            "telephone_number": "718-597-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPAJ",
        "first_name": "MARINELA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "23019696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.