Jasminka Kopanja, M.D.
Individual provider Active NPI General Practice Dentistry · Ewing, NJ
NPI 1427166248 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1427166248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 22DI02155600 (NJ)
- Practice address
- 795 Parkway Ave
Suite a-5
Ewing, NJ 08618-2704 - Phone
- (609) 771-0032
- Fax
- (609) 771-6028
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02155600 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Dental Care, LLC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02155600 | NJ | Yes |
Addresses
Primary practice location
795 Parkway Ave
Suite a-5
Ewing, NJ 08618-2704
Mailing address
795 Parkway Ave
Suite a-5
Ewing, NJ 08618-2704
Phone (609) 771-0032
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60016094 | Other | NJ | HORIZON NJ HEALTH |
Other providers in Ewing, NJ
- David Michael Kittle
- Nadine Klass
- Rachael Knutson
- Karen Michelle Kohaut
- Scott Kolander
- Jessica Donna Korpusinski
- Joan Koslowske
- Kostinas Chiropractic, LLC
- James John Kostinas
- Richard Kozlowski
All providers in Ewing, NJ · General Practice Dentistry in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.