Meera S. Boppana,MD.PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

175209 Issued in NY

Legal business name

MEERA S. BOPPANA,MD.PC

Practice address

10415 101St Ave
Ozone Park, NY 11416-2702

Phone

(718) 441-0660

Fax

(718) 847-1538

NPI assigned

Mar 31, 2008

Last updated

Jan 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Meera S Boppana, M.D.NPI 1023088325

Title

President

Phone

(718) 441-0660

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Meera S Boppana, MD

  • Family Medicine Physician
  • Ozone Park, NY
  • NPI 1023088325
  NPD Authorized official

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1679745533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150-38 UNION TURNPIKE",
            "address_2": "#12E",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672702",
            "telephone_number": "718-441-0660",
            "fax_number": "718-847-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10415 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162702",
            "telephone_number": "718-441-0660",
            "fax_number": "718-847-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEERA S. BOPPANA,MD.PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "BOPPANA",
        "authorized_official_first_name": "MEERA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-441-0660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "175209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01305908",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medi Prime Pharmacy Inc,
• Rene S Mediavillo, M.D.
• Medrite RX Inc
• Medsys DME LLC
• Medtech Consulting
• Meghna Pharmacy Inc (Meghna Pharmacy)
• Johann Mendez, SPECIAL ED. TEACHER
• Joseph Micallef, DPM
• Mid-Rockaway Ave Medical, P.C.
• Jona Mielnik

• Family Medicine Physician in Ozone Park, NY
• Providers in Ozone Park, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.