Active NPI
Jordyn Popple
- Family Nurse Practitioner
- Syosset, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 346005
- Practice address
- 575 Underhill Blvd Ste 175
Syosset, NY 11791-3417 - Phone
- (516) 302-7679
- NPI assigned
- Jun 29, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 346005 | NY | Primary |
Addresses
Primary practice location
575 Underhill Blvd Ste 175
Syosset, NY 11791-3417
Mailing address
2000 Nantucket Rd
Merrick, NY 11566-1609
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
575 Underhill Blvd
Suite 175
Syosset, NY 11791-3417
Phone (516) 921-6780
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.13 of 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 60.42
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.58 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 78.61
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 346005 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brain & Spine Surgeons of New York PC | Current | Accepting new patients | |
| Michael S Cohen MD PC | Current | Accepting new patients |
Locations
106 Crystal Brook Hollow Rd
#A
Port Jeff Sta, NY 11776
Phone (631) 509-5250
106 Crystal Brook Hollow Rd
Ste A
Port Jefferson Station, NY 11776
Phone (631) 509-5250
575 Underhill Blvd
Ste 175
Syosset, NY 11791
Phone (516) 704-7004
4 Westchester Park Dr
Fl 4
White Plains, NY 10604
Phone (914) 948-3008
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- White Plains, NY
- NPI 1992921407
-
- Otolaryngology/Facial Plastic Surgery Physician
- Syosset, NY
- NPI 1336853340
-
- Allergy & Immunology Physician
- Brooklyn, NY
- NPI 1700312774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633392000000",
"number": "1306463997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 NANTUCKET RD",
"city": "MERRICK",
"state": "NY",
"postal_code": "115661609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 UNDERHILL BLVD STE 175",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117913417",
"telephone_number": "516-302-7679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPPLE",
"first_name": "JORDYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-29",
"last_updated": "2021-10-05",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "346005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syosset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.
- 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.