Individual provider Active NPI

Roderick David Pope

  • Taxi
  • Mount Vernon, NY
National Provider Identifier
1629523220
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
Practice address
67 Marion Ave
Mount Vernon, NY 10552-3712
Phone
(914) 403-2649
Fax
(914) 371-7633
NPI assigned
Aug 24, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Taxi 344600000X NY Primary

Addresses

Primary practice location

67 Marion Ave
Mount Vernon, NY 10552-3712

Mailing address

67 Marion Ave # PVT
PVT. House
Mount Vernon, NY 10552-3712
Phone (914) 403-2649

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

NPI Registry JSON

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1629523220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 MARION AVE # PVT",
            "address_2": "PVT. HOUSE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105523712",
            "telephone_number": "914-403-2649",
            "fax_number": "914-371-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 MARION AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105523712",
            "telephone_number": "914-403-2649",
            "fax_number": "914-371-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "RODERICK",
        "middle_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.