Active NPI
Joanna Tsopelas, MD
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1992790695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 211278
- Practice address
- 1301 57TH St
Brooklyn, NY 11219-4636 - Phone
- (718) 283-3640
- Fax
- (718) 635-7235
- NPI assigned
- Sep 19, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 211278 | NY | Primary |
Addresses
Primary practice location
1301 57TH St
Brooklyn, NY 11219-4636
Mailing address
4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-8015
Other practice location 1
1301 57th St
Brooklyn, NY 11219-4636
Phone (718) 283-3640
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341500701 | Other | NY | HEALTH PLUS |
| 2604498 | Other | NY | GHI |
| 4C5698 | Other | NY | HEALTH NET |
| 7199138 | Other | NY | AETNA PPO |
| BK00758-03 | Other | NY | AMERICHOICE |
| TJ1278 | Other | NY | ATLANTIS HEALTH |
| 01919126 | Medicaid | NY | |
| 567Z31 | Other | NY | EMPIRE BCBS |
| P2049946 | Other | NY | OXFORD HEALTH |
| 211278 | Other | NY | HIP |
| 1929374 10 | Other | NY | UNITED HEALTHCARE |
| 211278-A15 | Other | NY | HEALTH FIRST |
| 3261993 | Other | NY | AETNA USHC HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Faculty Practice Plan | Current | Accepting new patients | |
| Maimonides Medical Center | Current | Accepting new patients | |
| MMC Pediatrics Faculty Practice | Pediatrics | Current | Accepting new patients |
Locations
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
977 48th St
Brooklyn, NY 11219
Phone (718) 283-8894
1301 57th St
Brooklyn, NY 11219
Phone (718) 283-3640
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- joannatsopelas@mai.allscriptsdirect.net
- joanna.tsopelas.p1@direct.mmc.nextgenshare.com
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.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1053344846
-
- Pediatrics Physician
- Brooklyn, NY
- NPI 1285648154
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1992790695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4802 10TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192916",
"telephone_number": "718-283-8015",
"fax_number": "718-635-7235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 57TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112194636",
"telephone_number": "718-283-3640",
"fax_number": "718-635-7235"
}
],
"practiceLocations": [
{
"address_1": "1301 57th St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112194636",
"country_code": "US",
"telephone_number": "718-283-3640",
"fax_number": "718-283-3602",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TSOPELAS",
"first_name": "JOANNA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-19",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "211278",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "341500701",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2604498",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "4C5698",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7199138",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "BK00758-03",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATLANTIS HEALTH",
"identifier": "TJ1278",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01919126",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "567Z31",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH",
"identifier": "P2049946",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "211278",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1929374 10",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH FIRST",
"identifier": "211278-A15",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC HMO",
"identifier": "3261993",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.