Nicholas Kotopoulos, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

25MA03676200 Issued in NJ

Practice address

40 Engle St
Englewood, NJ 07631-2905

Phone

(201) 568-0522

Fax

(201) 567-5955

NPI assigned

Mar 12, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Englewood Physician'S Group LLC

  • Obstetrics & Gynecology Physician
  • Englewood, NJ
  • NPI 1235363045
  Medicare reassignment NPD
• Englewood Surgical Services, LLC

  • Obstetrics & Gynecology Physician
  • Englewood, NJ
  • NPI 1437282464
  Medicare reassignment NPD
• Women'S Choice of Hackensack P.C.

  • Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
  • Englewood, NJ
  • NPI 1114140589
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023140100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312905",
            "telephone_number": "201-568-0522",
            "fax_number": "201-567-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312905",
            "telephone_number": "201-568-0522",
            "fax_number": "201-567-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTOPOULOS",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA03676200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0962708",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly Anne Kolsky, MSW, LCSW, BCD-P.
• Srikant Kondapaneni, MD
• Andrew D Koplik, MD
• Reinhard Kopping, CRNA
• Rebecca Korman, MS, OTR/L
• Kimberly Koury, M.D.
• Brittany Kowalski
• Cheryl Kramer, LCSW, DSW
• Patricia A Kraycinovich, NP
• Preethi Krishnan, M.D

• Obstetrics & Gynecology Physician in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.