1043255631 NPI number — OXANA POPESCU MD

Table of content: OXANA POPESCU MD (NPI 1043255631)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043255631 NPI number — OXANA POPESCU MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
POPESCU
Provider First Name:
OXANA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043255631
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/17/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 110
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HASTINGS ON HUDSON
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10706-0110
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-478-5121
Provider Business Mailing Address Fax Number:
866-862-1608

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
30 MAIN ST FL 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HASTINGS ON HUDSON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10706-1602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-478-5121
Provider Business Practice Location Address Fax Number:
866-862-1608
Provider Enumeration Date:
06/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  238747 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 131740118 . This is a "GALAXY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2416Q1 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: WANN61 . This is a "MEDICARE GROUP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 4798435 . This is a "GHI PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: P3679418 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 796340 . This is a "MVP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7693186 . This is a "AETNA PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: H26175 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 131740118 . This is a "BEECH STREET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 131740118 . This is a "FIRST HEALTH CCN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 131740118 . This is a "PHCS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 131740118 . This is a "MAGNACARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7C1435 . This is a "HEALTHNET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 238747-B2B . This is a "HEALTHFIRST" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1256670 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 131740118 . This is a "POMCO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 131740118 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 131740118 . This is a "DEVON" identifier . This identifiers is of the category "OTHER".
  • Identifier: 131740118 . This is a "CHN" identifier . This identifiers is of the category "OTHER".




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