Individual provider Active NPI

Helen I Kopyoff, D.D.S.

  • General Practice Dentistry
  • Staten Island, NY
National Provider Identifier
1699913699
Registry record updated Feb 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
054476 Issued in NY
Practice address
4222 Hylan Blvd
Staten Island, NY 10308-3360
Phone
(718) 356-2700
Fax
(718) 356-6238
NPI assigned
Jan 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 054476 NY Primary

Addresses

Primary practice location

4222 Hylan Blvd
Staten Island, NY 10308-3360

Mailing address

1719 Quentin Rd.
Apt 6C
Brooklyn, NY 11229-1219
Phone (347) 426-8644

Other identifiers 1

IdentifierTypeStateIssuer
03142945MedicaidNY

Other names 1

  • Mrs. Helen I Kopyoff Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180221000989 NY Order and Referring Only - DentistPractitioner - Dentist 9335400076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054476NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kopyoff Dental Art PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hkopyoff303240@nyumc.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519430400000",
    "number": "1699913699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 QUENTIN RD.",
            "address_2": "APT 6C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291219",
            "telephone_number": "347-426-8644",
            "fax_number": "347-371-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083360",
            "telephone_number": "718-356-2700",
            "fax_number": "718-356-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPYOFF",
        "first_name": "HELEN",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-29",
        "last_updated": "2018-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03142945",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HELEN",
            "last_name": "KOPYOFF",
            "middle_name": "I",
            "prefix": "MRS.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.