NPIMap

Organization Active NPI

Copps Medical PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • New Hartford, NY
National Provider Identifier
1871636720
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
176944 Issued in NY
Legal business name
COPPS MEDICAL PC
Practice address
100 Genesee St
New Hartford, NY 13413-2328
Phone
(315) 797-1340
Fax
(315) 797-2403
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Joseph P. Kalyoussef
Title
Office Manager
Phone
(315) 797-1340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X 176944 NY Primary

Addresses

Primary practice location

100 Genesee St
New Hartford, NY 13413-2328

Mailing address

100 Genesee St
New Hartford, NY 13413-2328
Phone (315) 797-1340

Other names 1

  • Cedars Occupational Physical Pain and Spine Medical PC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1871636720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GENESEE ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132328",
            "telephone_number": "315-797-1340",
            "fax_number": "315-797-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GENESEE ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132328",
            "telephone_number": "315-797-1340",
            "fax_number": "315-797-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "KALYOUSSEF",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "315-797-1340"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "176944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedars Occupational Physical Pain and Spine Medical PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Hartford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.