Individual provider Active NPI

Amy Popko, PA-C

  • Physician Assistant
  • Yorktown Heights, NY
National Provider Identifier
1992350714
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
157 Tomahawk St
Yorktown Heights, NY 10598-6314
Phone
(315) 877-3232
NPI assigned
Aug 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

157 Tomahawk St
Yorktown Heights, NY 10598-6314

Mailing address

23 Cedar Ledges
Putnam Valley, NY 10579-2133
Phone (315) 877-3232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220908000058 VA Practitioner - Physician Assistant 6103200308 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Health Center Inc CurrentSince Jul 7, 2025 Accepting new patients
Blue Ridge Health Center Inc CurrentSince Jul 7, 2025 Accepting new patients

Locations

4038 Thomas Nelson Hwy
Arrington, VA 22922
Phone (434) 263-4000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1992350714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CEDAR LEDGES",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105792133",
            "telephone_number": "315-877-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 TOMAHAWK ST",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105986314",
            "telephone_number": "315-877-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPKO",
        "first_name": "AMY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

Verify at the official NPI Registry.