Active NPI
Robert Steven Popkin, DMD MAGD
- General Practice Dentistry
- Port Washington, NY
National Provider Identifier
1417181017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 042733
- Practice address
- 14 Vanderventer Ave
Port Washington, NY 11050-3737 - Phone
- (516) 767-3658
- NPI assigned
- May 11, 2009
- Last updated
- Sep 24, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 042733 | NY | |
| Public Health Dentistry | 1223D0001X | 042733 | NY | |
| General Practice Dentistry | 1223G0001X | 042733 | NY | Primary |
Addresses
Primary practice location
14 Vanderventer Ave
Port Washington, NY 11050-3737
Mailing address
14 Vanderventer Ave
Port Washington, NY 11050-3737
Phone (516) 767-3658
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042733 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253750400000",
"number": "1417181017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 VANDERVENTER AVE",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110503737",
"telephone_number": "516-767-3658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 VANDERVENTER AVE",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110503737",
"telephone_number": "516-767-3658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPKIN",
"first_name": "ROBERT",
"middle_name": "STEVEN",
"credential": "DMD MAGD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-11",
"last_updated": "2009-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "042733",
"primary": false
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "NY",
"license": "042733",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "042733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Washington, NY
- Robin Perlberg, L.AC.
- Denise Perry, M.S. ED
- Perspectives Physical Therapy
- Physio Strength Physical Therapy PLLC (Physiostrength)
- Carole Pierre-Louis, LPN
- Port Care Pediatric NP PLLC
- Port Chemist Inc (Port Chemist)
- Port Counseling Center Inc
- Port Physical Therapy
- Port Salem Pharmacy Corp (Salem Drugs)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.