Active NPI
Helen I Kopyoff, D.D.S.
- General Practice Dentistry
- Staten Island, NY
National Provider Identifier
1699913699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 054476
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03142945 | Medicaid | NY |
Other names 1
- Mrs. Helen I Kopyoff
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180221000989 | NY | Order and Referring Only - Dentist | 9335400076 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054476 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kopyoff Dental Art PC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Dental Clinic/Center
- Staten Island, NY
- NPI 1346741337
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.