Organization Active NPI

Alexander Kopp, MD, PC

  • Internal Medicine Physician
  • Newton Lower Falls, MA
National Provider Identifier
1730257080
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALEXANDER KOPP, MD, PC
Practice address
2000 Washington St
Ste 542
Newton Lower Falls, MA 02462-1624
Phone
(617) 527-6200
Fax
(617) 965-5894
NPI assigned
Dec 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Authorized official

Name
Alexander Kopp, MD
Title
President
Phone
(617) 527-6200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X

Addresses

Primary practice location

2000 Washington St
Ste 542
Newton Lower Falls, MA 02462-1624

Mailing address

2000 Washington St
Ste 542
Newton Lower Falls, MA 02462-1624
Phone (617) 527-6200

Other identifiers 2

IdentifierTypeStateIssuer
110217745OtherMARAIL ROAD MEDICARE
9702971MedicaidMA

National Provider Directory

National Provider Directory

Locations

2000 Washington St
Ste 542
Newton Lower Falls, MA 02462
Phone (617) 527-6200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1730257080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "address_2": "STE 542",
            "city": "NEWTON LOWER FALLS",
            "state": "MA",
            "postal_code": "024621624",
            "telephone_number": "617-527-6200",
            "fax_number": "617-965-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "address_2": "STE 542",
            "city": "NEWTON LOWER FALLS",
            "state": "MA",
            "postal_code": "024621624",
            "telephone_number": "617-527-6200",
            "fax_number": "617-965-5894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER KOPP, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-02",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "KOPP",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-527-6200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "110217745",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9702971",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Lower Falls, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.