Active NPI
James N Koppel, MD
- Specialist
- New Hyde Park, NY
National Provider Identifier
1972508489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A133699-1
- Practice address
- 410 Lakeville Rd
Ste 209
New Hyde Park, NY 11042-1122 - Phone
- (516) 488-5050
- NPI assigned
- Jun 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A133699-1 | NY | Primary |
Addresses
Primary practice location
410 Lakeville Rd
Ste 209
New Hyde Park, NY 11042-1122
Mailing address
PO Box 1087
Rockville Centre, NY 11571-1087
Phone (201) 804-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00363800 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1972508489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1087",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115711087",
"telephone_number": "201-804-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 LAKEVILLE RD",
"address_2": "STE 209",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421122",
"telephone_number": "516-488-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPPEL",
"first_name": "JAMES",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "A133699-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00363800",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.