1. Home
  2. Directory
  3. New York
  4. Flushing
  5. Pediatrics
  6. NPI Profile

DR. TATYANA KOPP D.O.
NPI 1265799324
Pediatrics - Neonatal-Perinatal Medicine in Flushing, NY

Active since April 13, 2012PECOS Enrolled
5645 MAIN ST, FLUSHING, NY 11355(718) 670-2000 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2022, Aug 16, 2019 (2 updates tracked since 2019).

About Dr. Tatyana Kopp D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TATYANA KOPP D.O. (NPI 1265799324) is an individual neonatal-perinatal medicine provider in Flushing, New York, licensed in New York (281302) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265799324
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. TATYANA KOPPCredential: D.O.
Location Address5645 MAIN STFlushing, NY 11355-5045
Mailing Address4802 10th Avenue, Maimonides Medical CenterBrooklyn, NY 11219 · (718) 283-6000
Phone(718) 670-2000
Sole ProprietorNo
Enumeration DateApril 13, 2012
Last NPPES UpdateDecember 15, 20222 updates tracked since enumeration
NPPES CertifiedDecember 15, 2022
✔ NPI 1265799324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in NY · 281302
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
5645 MAIN ST, Flushing, NY 11355
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tatyana Kopp D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANA M GHELECHKHANI PA
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2608
PEDRO XAVIER PALACIOS PA-C
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-1000
DR. OSCAR ROLDAN
Anesthesiology
5645 MAIN ST
FLUSHING, NY 11355
Queens County (646) 962-9930
ALEXIS TORRES RODRIGUEZ
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-1507
DR. BRENT HOCHSTEIN DO
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
DR. PRINCIE NANDINI ROY MD
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
ERIC CHROSTOWSKI
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
PETER JAESUNG JO
Nurse Practitioner (Family)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (917) 340-4637

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tatyana Kopp's NPI number?

The NPI number for Tatyana Kopp is 1265799324. It was assigned to this individual provider in the NPPES registry on April 13, 2012.

Where is Tatyana Kopp located?

Tatyana Kopp practices at 5645 Main St, Flushing, NY 11355. The listed phone number is (718) 670-2000.

What is Tatyana Kopp's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Tatyana Kopp enrolled in Medicare?

Yes. Tatyana Kopp is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tatyana Kopp was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.