Active NPI
Madeleine Dopico
- Student in an Organized Health Care Education/Training Program
- New York, NY
National Provider Identifier
1730856741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 390200000X
- Practice address
- 5 E 17TH St FL 2
New York, NY 10003-1949 - Phone
- (212) 989-2990
- NPI assigned
- Aug 26, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | 390200000X | Primary |
Addresses
Primary practice location
5 E 17TH St FL 2
New York, NY 10003-1949
Mailing address
11 Riverside Dr Apt 5KW
New York, NY 10023-2696
Phone (914) 772-7957
Other practice location 1
11 Riverside Dr Apt 5Kw
New York, NY 10023-2696
Phone (914) 772-7957
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Fifth Avenue Counseling Center, Inc. | Multi-Specialty | Current | Accepting new patients |
Locations
5 E 17th St
Fl 2
New York, NY 10003
Phone (212) 989-2900
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.
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1801037270
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1730856741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 RIVERSIDE DR APT 5KW",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100232696",
"telephone_number": "914-772-7957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 E 17TH ST FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100031949",
"telephone_number": "212-989-2990"
}
],
"practiceLocations": [
{
"address_1": "11 Riverside Dr Apt 5Kw",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100232696",
"country_code": "US",
"telephone_number": "914-772-7957",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOPICO",
"first_name": "MADELEINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-26",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": "390200000X",
"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 Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.