Individual provider Active NPI

Kevin Lopyan, MD

  • Vascular Surgery Physician
  • Eatontown, NJ
National Provider Identifier
1114086527
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MA43494 Issued in NJ
Practice address
142 Highway 35
Suite 106
Eatontown, NJ 07724
Phone
(732) 935-9393
Fax
(732) 935-0101
NPI assigned
Dec 8, 2006
Last updated
Nov 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MA43494 NJ
Vascular Surgery Physician 2086S0129X MA43494 NJ Primary

Addresses

Primary practice location

142 Highway 35
Suite 106
Eatontown, NJ 07724

Mailing address

142 Highway 35
Suite 106
Eatontown, NJ 07724
Phone (732) 935-9393

Other identifiers 1

IdentifierTypeStateIssuer
5372500MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050726000433 NJ Practitioner - Vascular SurgeryPractitioner - General Surgery 0042247645 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Rutgers New Jersey Medical School, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Radiologists Professional Association LLCGroup PAC ID 3678621620, 71 clinicians
Atlantic Medical ImagingGroup PAC ID 0345215141, 109 clinicians

Practice addresses (Care Compare)

1 Riverview PLZ
Red Bank, NJ 07701-1864
Phone (732) 741-2700

142 Hwy 35
Suite 106
Eatontown, NJ 07724-1864
Phone (732) 935-9393

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.6 of 100Reported as group
Quality
98.86
Improvement activities
40
Cost
77.42

Merit-based Incentive Payment System (MIPS)

Final score
87.06 of 100Reported as group
Quality
84.68
Improvement activities
40
Cost
71.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA43494NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Medical Imaging CurrentSince Aug 2, 2021 Accepting new patients
Atlantic Radiologists Professional Association LLC CurrentSince Aug 2, 2021 Accepting new patients
Shore Nephrology PA. Past Accepting new patients
James F McGuckin MD of NJ PA Past Accepting new patients
Vascular Access Center of Trenton LLC PastSince Feb 1, 2017 Accepting new patients

Locations

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

455 Jack Martin Blvd
Brick, NJ 08724
Phone (516) 543-1155

495 Jack Martin Blvd
Brick, NJ 08724
Phone (732) 202-9222

142 Highway 35
Ste 106
Eatontown, NJ 07724
Phone (682) 235-0825

6529 Black Horse Pike
Egg Hbr Twp, NJ 08234
Phone (609) 645-8500

44 E Jimmie Leeds Rd
Galloway, NJ 08205
Phone (609) 652-3070

44 E Jimmie Leeds Rd
Ste 101
Galloway, NJ 08205
Phone (609) 652-7349

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

1168 Beacon Ave
Manahawkin, NJ 08050
Phone (609) 597-6092

37 Nautilus Dr
Manahawkin, NJ 08050
Phone (609) 597-2001

2399 Highway 34
Bldg B
Manasquan, NJ 08736
Phone (732) 223-9729

4450 Black Horse Pike
Ste 3982
Mays Landing, NJ 08330
Phone (609) 616-2920

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

524 Williamstown Rd
Ste A
Sicklerville, NJ 08081
Phone (856) 582-2000

30 E Maryland Ave
Somers Point, NJ 08244
Phone (609) 653-0209

864 Route 37 W
Toms River, NJ 08755
Phone (732) 341-7433

Organizations & group practices 6

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 9

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1114086527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 HIGHWAY 35",
            "address_2": "SUITE 106",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "732-935-9393",
            "fax_number": "732-935-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 HIGHWAY 35",
            "address_2": "SUITE 106",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "732-935-9393",
            "fax_number": "732-935-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPYAN",
        "first_name": "KEVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA43494",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "MA43494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5372500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.