Active NPI
Kopylenko DPM PC
- Foot Surgery Podiatrist
- Manalapan, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 25MD00292700
- Legal business name
- KOPYLENKO DPM PC
- Practice address
- 4 Bridge Plaza Dr Ste 6
Manalapan, NJ 07726 - Phone
- (732) 823-8769
- Fax
- (732) 444-5967
- NPI assigned
- Mar 17, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Zinaida V Kopylenko, D.P.M.
- Title
- President/Ceo
- Phone
- (347) 645-3044
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 25MD00292700 | NJ | Primary |
Addresses
Primary practice location
4 Bridge Plaza Dr Ste 6
Manalapan, NJ 07726
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 practice location 2
224 Marc Dr
North Brunswick, NJ 08902-5104
Phone (347) 645-3044
Other practice location 3
95 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (732) 823-8769
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4 Bridge Plaza Dr
Ste 6
Manalapan, NJ 07726
1412 Stelton Rd
Piscataway, NJ 08854
23 Worlds Fair Dr
Somerset, NJ 08873
Phone (732) 595-5315
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot Surgery Podiatrist
- Manalapan, NJ
- NPI 1083810717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548547200000",
"number": "1114241387",
"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": "4 BRIDGE PLAZA DR STE 6",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "07726",
"telephone_number": "732-823-8769",
"fax_number": "732-444-5967"
}
],
"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",
"fax_number": "732-851-5566",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "224 Marc Dr",
"address_purpose": "LOCATION",
"city": "North Brunswick",
"state": "NJ",
"postal_code": "089025104",
"country_code": "US",
"telephone_number": "347-645-3044",
"fax_number": "732-851-5566",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "95 Bridge Plaza Dr",
"address_purpose": "LOCATION",
"city": "Manalapan",
"state": "NJ",
"postal_code": "07726",
"country_code": "US",
"telephone_number": "732-823-8769",
"fax_number": "732-851-5566",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KOPYLENKO DPM PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-17",
"last_updated": "2019-01-27",
"status": "A",
"authorized_official_last_name": "KOPYLENKO",
"authorized_official_first_name": "ZINAIDA",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "347-645-3044",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": "NJ",
"license": "25MD00292700",
"primary": true
}
],
"identifiers": [],
"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 Jan 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.