Marcela M Popa, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA06482100 Issued in NJ

Practice address

245 Park Avenue
East Rutherford, NJ 07073

Phone

(201) 939-7161

Fax

(201) 939-4053

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marcela M Vicol Former name

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902964083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 PARK AVENUE",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "07073",
            "telephone_number": "973-882-3545",
            "fax_number": "973-882-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 PARK AVENUE",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "07073",
            "telephone_number": "201-939-7161",
            "fax_number": "201-939-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPA",
        "first_name": "MARCELA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06482100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCELA",
            "last_name": "VICOL",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Performance Physical Medicine
• Annairis Perkins
• Joseph J. Petriello III, PT
• Marta Petryna
• Point Medical Solutions LLC
• Tomasz Popkowski, PTA
• Professional Advantage Nutrition and Fitness, LLC
• Professional Sports Care Management Inc
• Project Body Massage and Stretch Therapy LLC
• Quality ABA Services

• Internal Medicine Physician in East Rutherford, NJ
• Providers in East Rutherford, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.