Individual provider Active NPI

Nelson P Kopyt, DO

  • Nephrology Physician
  • Allentown, PA
National Provider Identifier
1104802891
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
OS004523L Issued in PA
Practice address
1230 S Cedar Crest Blvd Stes 301, 302, 304
Allentown, PA 18103-6367
Phone
(610) 432-4529
Fax
(610) 432-2206
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA0378900 NJ
Nephrology Physician 207RN0300X OS004523L PA Primary

Addresses

Primary practice location

1230 S Cedar Crest Blvd Stes 301, 302, 304
Allentown, PA 18103-6367

Mailing address

1230 S Cedar Crest Blvd Ste 301
Allentown, PA 18103-6212
Phone (610) 432-4529

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nkopty12155@direct.acumenmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050509000366 PA Practitioner - NephrologyPractitioner - Internal Medicine 2264472356 Reassigns benefits to 2 organizations
I20111201000528 NJ Practitioner - NephrologyPractitioner - Internal Medicine 2264472356 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Kidney Specialists, P.C.Group PAC ID 2860670734, 31 clinicians

Practice addresses (Care Compare)

1230 S Cedar Crest Blvd
Allentown, PA 18103-6212
Phone (610) 432-4529

2014 City Line Rd
Suite 103
Bethlehem, PA 18017-2190
Phone (610) 432-4529

471 Ctr St
Phillipsburg, NJ 08865-2665
Phone (610) 432-4529

Hospital & facility affiliations

  • FKC Southside Dialysis Dialysis facility, Bethlehem, PA, CCN 392863
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Schuylkill Medical Center - South Jackson Street Hospital, Pottsville, PA, CCN 390030
  • Lehigh Valley Hospital - Hazleton Hospital, Hazleton, PA, CCN 390185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MA0378900NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Kidney Specialists, PC Nephrology CurrentSince May 15, 2011 Accepting new patients
Kidney Care Specialists LLC Nephrology CurrentSince Nov 1, 2018 Accepting new patients
Valley Kidney Specialists, P.C. Nephrology CurrentSince May 15, 2011 Accepting new patients

Locations

471 Center St
Phillipsburg, NJ 08865
Phone (610) 264-4865

1230 S Cedar Crest Blvd
Ste 30130
Allentown, PA 18103

401 N 17th St
Ste 212
Allentown, PA 18104
Phone (610) 258-3608

1230 S Cedar Crest Blvd
Ste 301
Allentown, PA 18103
Phone (610) 432-4873

2014 City Line Rd
Ste 103
Bethlehem, PA 18017
Phone (610) 433-4100

95 Highland Ave
Ste 309
Bethlehem, PA 18017
Phone (484) 245-1110

2000 Sproul Rd
Ste 300
Broomall, PA 19008
Phone (610) 356-3700

50 S 18th St
Easton, PA 18042
Phone (610) 250-9794

Interoperability endpoints

  • Direct secure messaging: nkopty12155@direct.acumenmd.com

Organizations & group practices 4

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1104802891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 S CEDAR CREST BLVD STE 301",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036212",
            "telephone_number": "610-432-4529",
            "fax_number": "610-432-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S CEDAR CREST BLVD STES 301, 302, 304",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036367",
            "telephone_number": "610-432-4529",
            "fax_number": "610-432-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPYT",
        "first_name": "NELSON",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA0378900",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "OS004523L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nkopty12155@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "1230 S Cedar Crest Blvd Stes 301, 302, 304",
            "city": "Allentown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "181036367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.