Organization Active NPI

Kopidakis & Kopidakis PTR

  • Surgery Physician
  • Edison, NJ
National Provider Identifier
1184626186
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
KOPIDAKIS & KOPIDAKIS PTR
Practice address
98 James St
Suite 101
Edison, NJ 08820-3902
Phone
(732) 548-8980
Fax
(732) 548-6652
NPI assigned
Aug 10, 2005
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
Managing Physician
Phone
(732) 548-8980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

98 James St
Suite 101
Edison, NJ 08820-3902

Mailing address

98 James St
Suite 101
Edison, NJ 08820-3902
Phone (732) 548-8980

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184626186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 JAMES ST",
            "address_2": "SUITE 101",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203902",
            "telephone_number": "732-548-8980",
            "fax_number": "732-548-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 JAMES ST",
            "address_2": "SUITE 101",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203902",
            "telephone_number": "732-548-8980",
            "fax_number": "732-548-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOPIDAKIS & KOPIDAKIS PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "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": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "732-548-8980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "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.