Organization Active NPI

William a. Copen, MD, PLLC

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1790220705
Registry record updated Mar 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
240680 Issued in NY
Legal business name
WILLIAM A. COPEN, MD, PLLC
Practice address
300 E 75TH St
Apt. 8B
New York, NY 10021-3375
Phone
(617) 877-6278
NPI assigned
Dec 29, 2016
Last updated
Mar 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2021

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

Authorized official

Name
Dr. William A. Copen, MDNPI 1477535763
Title
Sole Member
Phone
(617) 877-6278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 240680 NY Primary

Addresses

Primary practice location

300 E 75TH St
Apt. 8B
New York, NY 10021-3375

Mailing address

1126 S Federal Hwy # 128
Fort Lauderdale, FL 33316-1257
Phone (617) 877-6278

National Provider Directory

National Provider Directory

Locations

1126 S Federal Hwy
Ft Lauderdale, FL 33316
Phone (617) 877-6278

1562 1st Ave
#365
New York, NY 10028

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615593600000",
    "number": "1790220705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 S FEDERAL HWY # 128",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161257",
            "telephone_number": "617-877-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 75TH ST",
            "address_2": "APT. 8B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213375",
            "telephone_number": "617-877-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A. COPEN, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A",
        "authorized_official_last_name": "COPEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "617-877-6278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "240680",
            "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 Mar 13, 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.