Active NPI
Zinaida Viktoria Kopylenko, D.P.M.
- Foot Surgery Podiatrist
- Manalapan, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 25MD00292700
- 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, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P11071 | Other | NY | NY MEDICARE |
| 02967628 | Medicaid | NY |
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
Enrollment records 1
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 100
- Quality
- 95
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 498 |
| Removal or shaving of skin growth | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MD00292700 | NJ | MD | Foot Surgery Podiatrist |
| N006210-1 | NY | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kopylenko DPM PC | Foot Surgery | Current | Accepting new patients |
| Zinaida V Kopylenko | Past | 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 | Past | 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
- 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.
-
- Foot Surgery Podiatrist
- Manalapan, NJ
- NPI 1114241387
-
- Foot & Ankle Surgery Podiatrist
- North Brunswick, NJ
- NPI 1124295407
-
- Physical Therapist
- Staten Island, NY
- NPI 1881937423
-
- Physical Therapist
- Staten Island, NY
- NPI 1710308846
-
dba Coney Island Medical Group
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1285683102
Foot Surgery
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hamilton, NJ
- NPI 1629069638
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.