Leah Kopelan MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA08005100 Issued in NJ

Legal business name

LEAH KOPELAN MD LLC

Practice address

235 Millburn Ave
Millburn, NJ 07041-1738

Phone

(973) 474-2166

Fax

(973) 474-2184

NPI assigned

Feb 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Leah Kopelan, M.D.

Title

Sole Owner/Physician

Phone

(973) 474-2166

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1205168275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HILLSIDE PL",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792902",
            "telephone_number": "973-474-2166",
            "fax_number": "973-474-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MILLBURN AVE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411738",
            "telephone_number": "973-474-2166",
            "fax_number": "973-474-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAH KOPELAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "KOPELAN",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "SOLE OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "973-474-2166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08005100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Millburn, NJ
• Providers in Millburn, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.