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

Poppy Addison, MD

Individual provider Colon & Rectal Surgery Physician · NPI 1295239473

Poppy Addison, MD is a General Surgery in Staten Island, New York. Qualified in 2018, 8 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota and New York.

Years since qualifying
8
Licensed in
MN, NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

256 Mason Ave Fl 3
Staten Island, NY 10305-3408
Phone: (718) 226-6398
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 200 1st St Sw, Rochester, MN 55905-0001 — (507) 284-2511
  • 100 E 77th St, New York, NY 10075-1850 — (212) 434-2000

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 333393 (NY)
Colon & Rectal Surgery Physician Taxonomy 208C00000X · Licence 73768 (MN)

Record details

NPI number1295239473
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2018
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025
Mailing address256 Mason Ave Fl 3, Staten Island, NY 10305-3408

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2018 (8 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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