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1992790695

NPI Code Detail

MEDICARE: JOANNA TSOPELAS MD

MEDICARE: JOANNA TSOPELAS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	211278	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	341500701	OTHER	NY	HEALTH PLUS
2	2604498	OTHER	NY	GHI
3	4C5698	OTHER	NY	HEALTH NET
4	7199138	OTHER	NY	AETNA PPO
5	BK00758-03	OTHER	NY	AMERICHOICE
6	TJ1278	OTHER	NY	ATLANTIS HEALTH
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	567Z31	OTHER	NY	EMPIRE BCBS
9	P2049946	OTHER	NY	OXFORD HEALTH
10	211278	OTHER	NY	HIP
11	1929374 10	OTHER	NY	UNITED HEALTHCARE
12	211278-A15	OTHER	NY	HEALTH FIRST
13	3261993	OTHER	NY	AETNA USHC HMO

General Provider Information

NPI Number	:	1992790695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNA TSOPELAS MD

Provider Business Mailing Address
First Line	:	4802 10TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2916
Country	:	US
Telephone Number	:	718-283-8015
Fax Number	:	718-635-7235

Provider Business Practice Location Address
First Line	:	1301 57TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-4636
Country	:	US
Telephone Number	:	718-283-3640
Fax Number	:	718-635-7235

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	11/25/2025

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Directions to “ JOANNA TSOPELAS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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