Active NPI
Kenneth J. Kopacz, MD
- Orthopaedic Surgery Physician
- Livingston, NJ
National Provider Identifier
1205944709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 25MA05400200
- Practice address
- 200 So. Orange Ave
Suite 180 Annex
Livingston, NJ 07039 - Phone
- (973) 226-2725
- Fax
- (973) 226-3270
- NPI assigned
- Aug 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 25MA05400200 | NJ | |
| Orthopaedic Surgery Physician | 207X00000X | 25MA05400200 | NJ | Primary |
Addresses
Primary practice location
200 So. Orange Ave
Suite 180 Annex
Livingston, NJ 07039
Mailing address
200 So. Orange Ave
Suite 180 Annex
Livingston, NJ 07039
Phone (973) 226-2725
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ES546 | Other | OXFORD | |
| F12538 | Other | HEALTHNET |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Perelman School of Med at the University of Pennsylvania, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300
Hospital & facility affiliations
- Atlantic Visiting Nurse
- Cooperman Barnabas Medical Center
- Overlook Medical Center
- Kessler Rehab Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 49 |
| Laminectomy or laminotomy (partial removal of spine bones) | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05400200 | NJ | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group PA | Current | Accepting new patients | |
| Summit Medical Group PA | Orthopaedic Surgery | Current | Accepting new patients |
| Summit Medical Group, Inc | Past | Accepting new patients |
Locations
1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868
150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890
Interoperability endpoints
- kenneth.kopacz.1@2983.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Berkeley Heights, NJ
- NPI 1942254347
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1043930555
Orthopaedic Surgery
-
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Summit, NJ
- NPI 1740254143
-
- Home Health Agency
- Morristown, NJ
- NPI 1962479667
-
- General Acute Care Hospital
- Livingston, NJ
- NPI 1396857488
-
- Rehabilitation Hospital
- West Orange, NJ
- NPI 1013919620
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1205944709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SO. ORANGE AVE",
"address_2": "SUITE 180 ANNEX",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "07039",
"telephone_number": "973-226-2725",
"fax_number": "973-226-3270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SO. ORANGE AVE",
"address_2": "SUITE 180 ANNEX",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "07039",
"telephone_number": "973-226-2725",
"fax_number": "973-226-3270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPACZ",
"first_name": "KENNETH",
"middle_name": "J.",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-26",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "NJ",
"license": "25MA05400200",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "25MA05400200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "ES546",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "F12538",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.