1215446778 NPI number — OXANA POPESCU MD PC

Table of content: (NPI 1215446778)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215446778 NPI number — OXANA POPESCU MD PC

Organization/Personal Information

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

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
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:
1215446778
Entity Type Code:
Organization
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:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
30 MAIN ST
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:
09/27/2017

Additional Information

Authorized Official

Authorized Official Last Name:
POPESCU
Authorized Official First Name:
OXANA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
917-627-7591

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X , 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: 02794461 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1043255631 . This is a "MAGNACARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1043255631 . This is a "UNITED HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1043255631 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1043255631 . This is a "EMPIRE BLUE CROSS BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1043255631 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1043255631 . This is a "AARP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1043255631 . This is a "1199" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1043255631 . This is a "HORIZON" identifier . This identifiers is of the category "OTHER".




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