Individual provider Active NPI

Madeleine Dopico

  • Student in an Organized Health Care Education/Training Program
  • New York, NY
National Provider Identifier
1730856741
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
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

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193200000X MULTI-SPECIALTY GROUP 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

OrganizationSpecialtyStatusNew patients
The Fifth Avenue Counseling Center, Inc. Multi-Specialty CurrentSince Aug 29, 2021 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.

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.

Verify at the official NPI Registry.