Modern Medical Practice PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

238747 1 Issued in NY

Legal business name

MODERN MEDICAL PRACTICE PLLC

Practice address

30 Main St FL 1
Hastings on Hudson, NY 10706-1602

Phone

(914) 478-5121

Fax

(866) 862-1608

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Oxana Popescu, MDNPI 1043255631

Title

Officer

Phone

(917) 627-7591

Specialties & licenses 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Oxana Popescu, MD

  • Internal Medicine Physician
  • Hastings on Hudson, NY
  • NPI 1043255631
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1760521959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107060110",
            "telephone_number": "914-478-5121",
            "fax_number": "866-862-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MAIN ST FL 1",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107061602",
            "telephone_number": "914-478-5121",
            "fax_number": "866-862-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MEDICAL PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "POPESCU",
        "authorized_official_first_name": "OXANA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "917-627-7591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "238747 1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "439 AK1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3563394",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02794461",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11178594",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "4798435",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0127711",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "12499367",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7693186",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "796340",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "10110969AP39",
            "identifier": "CDPHP",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marilyn J. Meese, PH.D.
• Anna Maria Mejia-Epstein, OT/L
• Rachel Merchant
• Ronald B Miller, P.T.
• Nicole Miziolek
• Angelica Mordecai, L.AC.
• Anita Morgenstern, D.C.
• Alison Mort
• Nancy Lyn Moskowitz, DPM
• Donna C. Moss, MA, LCSW-R

• Medical Specialty Clinic/Center in Hastings on Hudson, NY
• Providers in Hastings on Hudson, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.