Justin James Kopa, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

279148 Issued in NY

Practice address

175 Remsen St FL 7
Brooklyn, NY 11201-4333

Phone

(929) 697-2947

Fax

(718) 690-3934

NPI assigned

Apr 26, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

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.

• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152

  Single Specialty

  Medicare reassignment NPD
• The Children'S Aid Society

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bronx, NY
  • NPI 1730124025

  Single Specialty

  NPD Authorized official
• Montefiore Medical Center

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1194183715
  NPD
• The Children'S Aid Society

  • Voluntary or Charitable Agency
  • New York, NY
  • NPI 1124299763
  NPD
• The Children'S Aid Society

  • Voluntary or Charitable Agency
  • Brooklyn, NY
  • NPI 1467513564
  NPD

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1790043800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W 124TH ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274920",
            "telephone_number": "929-697-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 REMSEN ST FL 7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014333",
            "telephone_number": "929-697-2947",
            "fax_number": "718-690-3934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100402102",
            "country_code": "US",
            "telephone_number": "212-567-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 E 172nd St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104605802",
            "country_code": "US",
            "telephone_number": "347-767-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Jumel Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100324316",
            "country_code": "US",
            "telephone_number": "212-923-1495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 - 32 W 118th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10026",
            "country_code": "US",
            "telephone_number": "212-369-8339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3703 10th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100341860",
            "country_code": "US",
            "telephone_number": "212-567-6066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Hamilton Ave Rm 116",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103011610",
            "country_code": "US",
            "telephone_number": "718-764-2410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3630 Third Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104562175",
            "country_code": "US",
            "telephone_number": "718-716-7550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "465 W 167th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100324351",
            "country_code": "US",
            "telephone_number": "212-543-3943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOPA",
        "first_name": "JUSTIN",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-26",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "279148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell David Koonin, DDS
• Jennifer Elaine Koonings, PMHNP
• Leesha Koonjoo
• Koorga LLC
• Koorosh Shamtoub DDS PC
• Ilya Kopach, FNP
• Nikolay Kopach, LAC
• Peter Kopach, L.A.C
• Mariana Kopachevska
• Svetlana Kopacz, MSED

• Pediatrics Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.