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NPI Code Detail

MEDICARE: JOEL E. KOPELMAN M.D.

MEDICARE: JOEL E. KOPELMAN M.D.
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
1208200000XPlastic Surgery Physician25MA03556800NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2BS110OTHEROXFORD
3J18130OTHERHEALTHNET
4WELLCHOICEOTHER34D19
5RAILROAD MEDICAREOTHERNJ180004224

General Provider Information

NPI Number : 1427053537
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOEL E. KOPELMAN M.D.
Provider Business Mailing Address
First Line : 1200 E RIDGEWOOD AVE
Second Line : STE 1
City : RIDGEWOOD
State : NJ
Zip : 07450-3957
Country : US
Telephone Number : 201-444-4499
Fax Number : 201-612-8114
Provider Business Practice Location Address
First Line : 1200 E RIDGEWOOD AVE
Second Line : STE 1
City : RIDGEWOOD
State : NJ
Zip : 07450-3957
Country : US
Telephone Number : 201-444-4499
Fax Number : 201-612-8114
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 09/27/2012

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Directions to “ JOEL E. KOPELMAN M.D.” Practice Location

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