Jeremy D Coplan, MD

Primary specialty

Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X

License

176550 Issued in NY

Practice address

1165 Northern Blvd.
Suite 200
Manhasset, NY 11030

Phone

(516) 365-3300

Fax

(718) 270-8826

NPI assigned

Apr 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

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.

• University Physicians of Brooklyn

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1558318006
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346468600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3829 OCEAN VIEW AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241343",
            "telephone_number": "718-373-2622",
            "fax_number": "718-270-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 NORTHERN BLVD.",
            "address_2": "SUITE 200",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "11030",
            "telephone_number": "516-365-3300",
            "fax_number": "718-270-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPLAN",
        "first_name": "JEREMY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NY",
            "license": "176550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Theresa Cooke-Sporing, D.O.
• Michael Ian Cooper, MD
• Dustin Taylor Cooperman, M.D.
• Helise Coopersmith, MD
• Dillon Bennett Louis Coplai, MD
• Danielle Marie Coppola, RN
• Matthew Joel Coppola, M.D.
• Cori Bayardelle Mental Health Counselor PLLC
• Robert N Corriel, M.D.
• Anthony John Corsi

• Psychosomatic Medicine Physician in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Psychosomatic Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.