| Adam Kopelan, | |
|
225 Millburn Ave, Suite 104b, Millburn, NJ 07041-1737 | |
| (973) 379-5888 | |
| (973) 912-9757 |
| Full Name | Adam Kopelan |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 29 Years |
| Location | 225 Millburn Ave, Millburn, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679573307 | NPI | - | NPPES |
| 7943610 | Other | NJ | AETNA PPO # |
| 3630367 | Other | NJ | AETNA HMO # |
| 0052281 | Medicaid | NJ | |
| 8221580 | Other | NJ | GHI PPO # |
| 2K8702 | Other | NJ | HEALTHNET # |
| 2417571000 | Other | NJ | AMERIHEALTH # |
| P00123010 | Other | NJ | RAILROAD MDCR # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 25MA07605700 (New Jersey) | Secondary |
| 174400000X | Specialist | 25MA07605700 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Newark Beth Israel Medical Center | Newark, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Barnabas Health Medical Group Pc | 9537316955 | 803 |
| Entity Name | Newark Beth Israel Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033210323 PECOS PAC ID: 3173437464 Enrollment ID: O20031119000754 |
| Entity Name | Barnabas Health Medical Group, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447206420 PECOS PAC ID: 0648172809 Enrollment ID: O20040127000361 |
| Entity Name | Avenel Iselin Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487674867 PECOS PAC ID: 5597751941 Enrollment ID: O20040422000098 |
| Entity Name | Barnabas Health Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841557246 PECOS PAC ID: 9537316955 Enrollment ID: O20120820000951 |
| Mailing Address | Practice Location Address |
|---|---|
| Adam Kopelan, 225 Millburn Ave, Suite 104b, Millburn, NJ 07041-1737 Ph: (973) 379-5888 | Adam Kopelan, 225 Millburn Ave, Suite 104b, Millburn, NJ 07041-1737 Ph: (973) 379-5888 |