Individual provider Active NPI

Zinaida Viktoria Kopylenko, D.P.M.

  • Foot Surgery Podiatrist
  • Manalapan, NJ
National Provider Identifier
1083810717
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
25MD00292700 Issued in NJ
Practice address
95 Bridge Plaza Dr
Manalapan, NJ 07726-1700
Phone
(732) 823-8769
Fax
(732) 851-5566
NPI assigned
Jun 21, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N006210-1 NY
Foot Surgery Podiatrist 213ES0131X 25MD00292700 NJ Primary

Addresses

Primary practice location

95 Bridge Plaza Dr
Manalapan, NJ 07726-1700

Mailing address

24 Forman LN
Manalapan, NJ 07726-2948
Phone (347) 645-3044

Other practice location 1

224 Marc Dr
North Brunswick, NJ 08902-5104
Phone (347) 645-3044

Other identifiers 2

IdentifierTypeStateIssuer
P11071OtherNYNY MEDICARE
02967628MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081107000755 NJ Practitioner - Podiatry 1355425356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14000 Sagemore Dr
Marlton, NJ 08053-3952
Phone (732) 823-8769

95 Bridge Plaza Dr
Manalapan, NJ 07726-1700
Phone (732) 823-8769

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue498
Removal or shaving of skin growth15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00292700NJMDFoot Surgery Podiatrist
N006210-1NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kopylenko DPM PC Foot Surgery CurrentSince Jun 1, 2010 Accepting new patients
Zinaida V Kopylenko PastSince Jan 1, 1990 Accepting new patients
University Group Medical Associates, P.C Foot Surgery Past Accepting new patients
Staten Island Center for Alternative Therapies, LLP Past Accepting new patients
Avantgarde Rehabilitation Limited Liability Company PastSince Mar 2, 2018 Accepting new patients

Locations

148 State St
Fl 10
Boston, MA 02109
Phone (617) 426-2026

7 Edgeboro Rd
East Brunswick, NJ 08816
Phone (732) 432-9990

3 Paragon Way
Ste 150
Freehold, NJ 07728
Phone (732) 984-6380

3450 Princeton Pike
Ste 120
Lawrenceville, NJ 08648
Phone (347) 453-5048

193 US Highway 9
Ste 1C
Manalapan, NJ 07726
Phone (732) 677-2200

95 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (732) 841-0319

14000 Sagemore Dr
Marlton, NJ 08053
Phone (732) 851-5546

Interoperability endpoints

  • Direct secure messaging: dr.zinaida.kopylenko@direct.digidms.com

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083810717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FORMAN LN",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077262948",
            "telephone_number": "347-645-3044",
            "fax_number": "732-851-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 BRIDGE PLAZA DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077261700",
            "telephone_number": "732-823-8769",
            "fax_number": "732-851-5566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 Marc Dr",
            "address_purpose": "LOCATION",
            "city": "North Brunswick",
            "state": "NJ",
            "postal_code": "089025104",
            "country_code": "US",
            "telephone_number": "347-645-3044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOPYLENKO",
        "first_name": "ZINAIDA",
        "middle_name": "VIKTORIA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N006210-1",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00292700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY MEDICARE",
            "identifier": "P11071",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02967628",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.