- Practice location
- 3251 Third Ave, Bronx, NY 10456-6832
- Phone
- 347-236-9938
- Fax
- 347-281-9138
- Last updated
- December 1, 2023
Jack Randy Pope is an Early Intervention Provider Agency based in Bronx, NY. Jack Randy Pope practices in Bronx, NY. The NPI Number for Jack Randy Pope is 1518733443. The current practice location address for Jack Randy Pope is 3251 Third Ave, Bronx, NY 10456-6832 and can be reached out via phone at 347-236-9938 and via fax at 347-281-9138.
Provider Profile Details
- NPI Number
- 1518733443
- Provider Name
- Jack Randy Pope
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3251 Third Ave, Bronx, NY 10456-6832
- Phone Number
- 347-236-9938
- Fax Number
- 347-281-9138
- Primary Taxonomy
- Early Intervention Provider Agency · 252Y00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 1, 2023
- Last Update Date
- December 1, 2023
- Certification Date
- December 1, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3251 Third Ave
Bronx, NY 10456-6832 - City
- Bronx
- State
- New York
- Zip
- 10456-6832
- Phone Number
- 347-236-9938
- Fax Number
- 347-281-9138
Provider Business Mailing Address Details
- Address
- 45 Fairview Ave Apt 1E
New York, NY 10040-2752 - City
- New York
- State
- NY
- Zip
- 10040-2752
- Phone Number
- 646-852-8651
License Information
- Taxonomy
- Early Intervention Provider Agency · 252Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jack R Pope?
The NPI number of Jack R Pope is 1518733443. It was assigned on December 1, 2023 and is currently active in the NPPES registry.
What is the specialty of Jack R Pope?
Jack R Pope is registered under the primary taxonomy Early Intervention Provider Agency (code 252Y00000X).
Where does Jack R Pope practice?
The practice location is 3251 Third Ave, Bronx, NY 10456-6832. The office can be reached at 347-236-9938 (phone) or 347-281-9138 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518733443 directly on the NPPES registry website.