| Reinhard Kopping, CRNA | |
|
350 Engle St, Englewood, NJ 07631-1808 | |
| (201) 894-3238 | |
| (201) 894-0585 |
| Full Name | Reinhard Kopping |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 350 Engle St, Englewood, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194757781 | NPI | - | NPPES |
| 430047774 | Other | NJ | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2283742 (New York) | Primary |
| Entity Name | Optum Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
| Entity Name | North Shore - Lij Anesthesiology, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417401266 PECOS PAC ID: 1153602453 Enrollment ID: O20161228001498 |
| Mailing Address | Practice Location Address |
|---|---|
| Reinhard Kopping, CRNA 375 Engle St, Second Floor, Englewood, NJ 07631-1823 Ph: (201) 871-6073 | Reinhard Kopping, CRNA 350 Engle St, Englewood, NJ 07631-1808 Ph: (201) 894-3238 |
Eldine Ciceron, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 845-821-0058 | |
Digna Cruz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-894-3238 Fax: 201-894-0585 | |
Joseph Pollock, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-894-3000 | |
Dr. Ravi M Modh, DNP, APN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-894-3000 | |
Barbara Shackford, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-894-3238 Fax: 201-894-0585 | |
Martina E Robinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 Engle St, Anesthesia Department, Englewood, NJ 07631 Phone: 201-894-3322 Fax: 201-894-0585 |