Individual provider Active NPI

John S. Koliopoulos, DO

  • Emergency Medicine Physician
  • Berkeley Heights, NJ
National Provider Identifier
1053353516
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MB06001400 Issued in NJ
Practice address
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone
(908) 277-8880
Fax
(908) 277-8796
NPI assigned
Jun 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MB06001400 NJ Primary
Emergency Medicine Physician 207P00000X MB60014 NJ

Addresses

Primary practice location

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Mailing address

62 Cheshire LN
Ringwood, NJ 07456-2743
Phone (973) 962-6207

Other practice location 1

1080 Stelton Rd
Piscataway, NJ 08854-5201
Phone (848) 230-6800

Other practice location 2

99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (908) 522-2232

Other identifiers 3

IdentifierTypeStateIssuer
223586664OtherNJTRICARE/CHAMPUS
223586664OtherNJBCBS
6880908MedicaidNJ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040915001069 NJ Practitioner - Emergency Medicine 9537136841 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Urgent Care Plus PCGroup PAC ID 4385624162, 14 clinicians
Atlantic Advanced Urgent CareGroup PAC ID 4385986330, 44 clinicians

Practice addresses (Care Compare)

111 James St
Edison, NJ 08820-3967
Phone (732) 452-9700

333 US Hwy 46
Suite 106
Mountain Lakes, NJ 07046-1741
Phone (973) 939-6220

5 Marine View PLZ
Suite 101
Hoboken, NJ 07030-5756
Phone (848) 308-4612

769 Northfield Ave
West Orange, NJ 07052-1198
Phone (848) 308-4609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MB60014NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Urgent Care, LLC CurrentSince Feb 4, 2022 Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Jun 5, 1999 Accepting new patients
Atlantic Advanced Urgent Care Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients
Emergency Physician Services of New Jersey,Professional Association Emergency Medicine CurrentSince Sep 1, 2014 Accepting new patients
Nu Imagery Healthcare CurrentSince May 20, 2023 Accepting new patients
Hackensack Meridian Urgent Care Plus PC CurrentSince Dec 1, 2025 Accepting new patients
William R. Collini, M.D., P.a. PastSince Feb 4, 2022 Accepting new patients
Teaneck Emergency Physicians PA Emergency Medicine Past Accepting new patients

Locations

111 James St
Edison, NJ 08820
Phone (732) 452-9700

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

333 US Highway 46
Ste 106
Mountain Lks, NJ 07046
Phone (973) 829-7965

181 High St
Newton, NJ 07860
Phone (973) 383-9898

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

376 Route 15
Ste 101
Sparta, NJ 07871
Phone (973) 383-9898

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

Interoperability endpoints

  • Direct secure messaging: john.koliopoulos.1@25161.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25161/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1053353516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 CHESHIRE LN",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "074562743",
            "telephone_number": "973-962-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-277-8880",
            "fax_number": "908-277-8796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1080 Stelton Rd",
            "address_purpose": "LOCATION",
            "city": "Piscataway",
            "state": "NJ",
            "postal_code": "088545201",
            "country_code": "US",
            "telephone_number": "848-230-6800",
            "fax_number": "848-230-6803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 Beauvoir Ave",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079013533",
            "country_code": "US",
            "telephone_number": "908-522-2232",
            "fax_number": "908-522-0227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLIOPOULOS",
        "first_name": "JOHN",
        "middle_name": "S.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB06001400",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "MB60014",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "223586664",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "223586664",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6880908",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley Heights, NJ

Sources for this page

Verify at the official NPI Registry.