Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeremy Koppel, MD

Individual provider Psychiatry Physician · NPI 1861562209

Jeremy Koppel, MD is a Psychiatry in Glen Oaks, New York. Graduated from Indiana University School of Medicine in 1999, 27 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Trained at
Indiana University School of Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

The Zucker-Hillside Hospital 75-59 263rd St
Glen Oaks, NY 11004
Phone: (718) 470-8140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 220971 (NY)

Record details

NPI number1861562209
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 9, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressThe Zucker-Hillside Hospital, 75-59 263rd Street, Glen Oaks, NY 11004

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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