Organization Active NPI

George E Kopidakis MD Facs PC

  • Surgery Physician
  • Edison, NJ
National Provider Identifier
1093867582
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2559210 Issued in NJ
Legal business name
GEORGE E KOPIDAKIS MD FACS PC
Practice address
98 James St Ste 101
Edison, NJ 08820-3902
Phone
(732) 286-6006
Fax
(732) 286-0611
NPI assigned
Jan 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. George E Kopidakis, MD
Title
Physician
Phone
(732) 286-6006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 2559210 NJ Primary

Addresses

Primary practice location

98 James St Ste 101
Edison, NJ 08820-3902

Mailing address

98 James St Ste 101
Edison, NJ 08820-3902
Phone (732) 286-6006

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093867582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 JAMES ST STE 101",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203902",
            "telephone_number": "732-286-6006",
            "fax_number": "732-286-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 JAMES ST STE 101",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203902",
            "telephone_number": "732-286-6006",
            "fax_number": "732-286-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE E KOPIDAKIS MD FACS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOPIDAKIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-286-6006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "2559210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.