Individual provider Active NPI

Darlene Popadin, PT

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Staten Island, NY
National Provider Identifier
1770780082
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
010922-1 Issued in NY
Practice address
178 Morrison Ave
Staten Island, NY 10310-2835
Phone
(718) 442-3646
NPI assigned
Jun 29, 2007
Last updated
Sep 6, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 010922-1 NY Primary

Addresses

Primary practice location

178 Morrison Ave
Staten Island, NY 10310-2835

Mailing address

30 Baker PL
Staten Island, NY 10310-3005
Phone (718) 273-4456

Other names 1

  • Darlene Weir Professional name

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

State licenses

LicenseStateTypeSpecialty
010922NYMDOccupational Therapist
010922-1NYMDIntellectual and/or Developmental Disabilities Residential Treatment Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Clinical Care PLLC PastSince Apr 1, 2016 Accepting new patients
Leaps and Bounds Physical Therapy Past Accepting new patients
Superior Clinical Care PLLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1770780082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BAKER PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103103005",
            "telephone_number": "718-273-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 MORRISON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102835",
            "telephone_number": "718-442-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPADIN",
        "first_name": "DARLENE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "010922-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARLENE",
            "last_name": "WEIR",
            "code": "2",
            "type": "Professional 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 Sep 6, 2007; 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.