Jack Randy Pope

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

3251 Third Ave
Bronx, NY 10456-6832

Phone

(347) 236-9938

Fax

(347) 281-9138

NPI assigned

Dec 1, 2023

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)

Not enrolled

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1518733443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 FAIRVIEW AVE APT 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100402752",
            "telephone_number": "646-852-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 THIRD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104566832",
            "telephone_number": "347-236-9938",
            "fax_number": "347-281-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "JACK",
        "middle_name": "RANDY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Poon, PHARM.D.
• Husain Yusuf Poonawala, MD
• Alisha Jenna Poonja, D.P.M.
• Marinela Popaj, PA
• Ester M Pope
• John Burton Pope, M.D.
• Rasheeda Pope
• Coralia Popescu
• Maryann Julia Popiel, MD
• Catherine Popik, PA-C

• Early Intervention Provider Agency in Bronx, NY
• Providers in Bronx, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.