Individual provider Active NPI

Leah Michelle Kopelan, M.D.

  • Internal Medicine Physician
  • Morristown, NJ
National Provider Identifier
1417915422
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08005100 Issued in NJ
Practice address
55 Madison Avenue
Suite 310
Morristown, NJ 07960
Phone
(973) 993-9536
Fax
(973) 998-4237
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08005100 NJ Primary

Addresses

Primary practice location

55 Madison Avenue
Suite 310
Morristown, NJ 07960

Mailing address

55 Madison Avenue
Suite 310
Morristown, NJ 07960
Phone (973) 993-9536

Other names 1

  • Dr. Leah Michelle Black Former name

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
I20060320000308 NJ Practitioner - Internal Medicine 9638066426 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians

Practice addresses (Care Compare)

519 Broadway
Suite 3100
Bayonne, NJ 07002-3713
Phone (551) 214-3500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08005100NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Hospitalist Physicians of New Jersey PC Internal Medicine CurrentSince Mar 13, 2015 Accepting new patients
Rwjbh Primary Care Services Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
St. Joseph'S Healthcare, Inc. Internal Medicine CurrentSince Jan 15, 2018 Accepting new patients
Cogent Healthcare of New Jersey, PC Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
St Josephs Medical Group PC Internal Medicine CurrentSince Nov 2, 2021 Accepting new patients
Hospitalist Medicine Physicians of Pennsylvania, P.C. Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Ipc Hospitalist Physicians of New Jersey PC Internal Medicine CurrentSince Mar 13, 2015 Accepting new patients
Newark Beth Israel Medical Center Inc Past Accepting new patients
Nbimc Family Health Center Internal Medicine Past Accepting new patients
Anjali R. Gupta, M.D. P.C. Past Accepting new patients
Aesthetic Facial Surgery Center of Ny Past Accepting new patients

Locations

519 Broadway
Ste 3100
Bayonne, NJ 07002
Phone (551) 214-3500

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

151 Madison Ave
Morristown, NJ 07960
Phone (973) 565-2700

201 Lyons Ave
#L4
Newark, NJ 07112
Phone (973) 926-7154

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

766 Shrewsbury Ave
Ste 100
Tinton Falls, NJ 07724
Phone (732) 945-2009

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1417915422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MADISON AVENUE",
            "address_2": "SUITE 310",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "07960",
            "telephone_number": "973-993-9536",
            "fax_number": "973-998-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MADISON AVENUE",
            "address_2": "SUITE 310",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "07960",
            "telephone_number": "973-993-9536",
            "fax_number": "973-998-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPELAN",
        "first_name": "LEAH",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08005100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "BLACK",
            "middle_name": "MICHELLE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.