Individual provider Active NPI

Delores Cody Oppecker

  • Specialist
  • New York, NY
National Provider Identifier
1659918639
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
629934951 Issued in NY
Practice address
455 Fort Washington Ave Apt 53
New York, NY 10033-4631
Phone
(646) 842-1270
NPI assigned
Dec 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 629934951 NY Primary

Addresses

Primary practice location

455 Fort Washington Ave Apt 53
New York, NY 10033-4631

Mailing address

455 Fort Washington Ave Apt 53
New York, NY 10033-4631
Phone (212) 923-4869

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

LicenseStateTypeSpecialty
629934951NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1659918639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 FORT WASHINGTON AVE APT 53",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334631",
            "telephone_number": "212-923-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 FORT WASHINGTON AVE APT 53",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334631",
            "telephone_number": "646-842-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODY OPPECKER",
        "first_name": "DELORES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "629934951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.