Active NPI
John S. Koliopoulos, DO
- Emergency Medicine Physician
- Berkeley Heights, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MB06001400
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223586664 | Other | NJ | TRICARE/CHAMPUS |
| 223586664 | Other | NJ | BCBS |
| 6880908 | Medicaid | NJ |
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
Enrollment records 1
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
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.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB60014 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Urgent Care, LLC | Current | Accepting new patients | |
| Emergency Physician Associates of North Jersey P C | Emergency Medicine | Current | Accepting new patients |
| Atlantic Advanced Urgent Care | Emergency Medicine | Current | Accepting new patients |
| Emergency Physician Services of New Jersey,Professional Association | Emergency Medicine | Current | Accepting new patients |
| Nu Imagery Healthcare | Current | Accepting new patients | |
| Hackensack Meridian Urgent Care Plus PC | Current | Accepting new patients | |
| William R. Collini, M.D., P.a. | Past | 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
- john.koliopoulos.1@25161.direct.athenahealth.com
- 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.
-
- Emergency Medicine Physician
- Morristown, NJ
- NPI 1104309277
-
- Urgent Care Clinic/Center
- Hoboken, NJ
- NPI 1396858874
-
- General Practice Physician
- Newton, NJ
- NPI 1023358959
-
- Emergency Medicine Physician
- Summit, NJ
- NPI 1497783419
-
- Emergency Medicine Physician
- Mount Holly, NJ
- NPI 1831539568
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Haskell, NJ
- NPI 1205594512
-
- Specialist
- Newton, NJ
- NPI 1144426602
-
- Emergency Medicine Physician
- Teaneck, PA
- NPI 1972569606
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.