Healthcare Provider Details

I. General information

NPI: 1811486434
Provider Name (Legal Business Name): NICHOLAS APOSTOLOPOULOS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2018
Last Update Date: 10/11/2026
Certification Date: 10/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 W MAIN ST STE 202
BOONTON NJ
07005-1166
US

IV. Provider business mailing address

223 W MAIN ST STE 202
BOONTON NJ
07005-1166
US

V. Phone/Fax

Practice location:
  • Phone: 973-263-2080
  • Fax: 973-263-3737
Mailing address:
  • Phone: 973-263-2080
  • Fax: 973-263-3737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number25MA11504200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: