Freshta Poupal

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

707689 Issued in NY

Practice address

6947 Alderton St
Rego Park, NY 11374-5322

Phone

(347) 909-0919

NPI assigned

Nov 27, 2021

Last updated

Nov 27, 2021By the provider in NPPES

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1637971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637971200000",
    "number": "1366109282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6947 ALDERTON ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745322",
            "telephone_number": "347-909-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6947 ALDERTON ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745322",
            "telephone_number": "347-909-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUPAL",
        "first_name": "FRESHTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-27",
        "last_updated": "2021-11-27",
        "certification_date": "2021-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "707689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alevtina Poliak
• Melody Polisi, L.C.S.W.-R.
• Gabor Politzer
• Oksana Poltilova, OTR
• Berta Polvanova
• David Andrew Power, MBBCH
• Irina Priev
• Prime Physical Therapy & Rehabilitation, P.C
• Taylor R Prince
• Jenna Principato, LMSW

• Registered Nurse in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2021; 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.