Individual provider Active NPI

Danielle Registre Opam, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Little Neck, NY
National Provider Identifier
1467744789
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
181627 Issued in NY
Practice address
26429 60TH Rd
Little Neck, NY 11362-2541
Phone
(718) 224-8314
Fax
(718) 276-8666
NPI assigned
May 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 181627 NY Primary
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician 2081N0008X 181627 NY
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 181627 NY

Addresses

Primary practice location

26429 60TH Rd
Little Neck, NY 11362-2541

Mailing address

26429 60TH Rd
Little Neck, NY 11362-2541
Phone (718) 224-8314

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
181627NYMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1467744789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26429 60TH RD",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622541",
            "telephone_number": "718-224-8314",
            "fax_number": "718-276-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26429 60TH RD",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622541",
            "telephone_number": "718-224-8314",
            "fax_number": "718-276-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPAM",
        "first_name": "DANIELLE",
        "middle_name": "REGISTRE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "181627",
            "primary": true
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "NY",
            "license": "181627",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "181627",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.