Individual provider Active NPI

Melissa Kopytko, CRNP

  • Family Nurse Practitioner
  • Mount Laurel, NJ
National Provider Identifier
1477928489
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN629877 Issued in PA
Practice address
1000 Crawford PL Ste 160
Mount Laurel, NJ 08054-3960
Phone
(888) 982-8594
NPI assigned
Dec 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN629877 PA Primary

Addresses

Primary practice location

1000 Crawford PL Ste 160
Mount Laurel, NJ 08054-3960

Mailing address

PO Box 159
Barrington, NJ 08007-0159
Phone (215) 768-4487

Other practice location 1

410 N Krocks Rd
Allentown, PA 18106-9283
Phone (888) 982-8594

Other practice location 2

252 S 12th St
Apt 1F
Philadelphia, PA 19107-5629
Phone (215) 768-4487

Other practice location 3

2004 Shipley Rd
Wilmington, DE 19803-5248
Phone (888) 982-8594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, NY, DE4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20190329001524 NJ Practitioner - Nurse Practitioner 5890035885 Reassigns benefits to 4 organizations
I20190613000074 PA Practitioner - Nurse Practitioner 5890035885 Reassigns benefits to 1 organization
I20221130001908 NY Practitioner - Nurse Practitioner 5890035885 Reassigns benefits to 1 organization
I20230127000753 DE Practitioner - Nurse Practitioner 5890035885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Telehealth LLCGroup PAC ID 6608156906, 43 clinicians
Medcorps Asthma and Pulmonary Specialists LLCGroup PAC ID 3375863764, 20 clinicians

Practice addresses (Care Compare)

200 Broadhollow Rd
Suite 207
Melville, NY 11747-4806
Phone (888) 982-8594

2004 Shipley Rd
Wilmington, DE 19803-5248
Phone (888) 982-8594

217 Black Horse Pike
Haddon Heights, NJ 08035-1009
Phone (888) 982-8594

222 New Rd
Suite 201
Linwood, NJ 08221-1281
Phone (609) 788-8593

410 N Krocks Rd
Allentown, PA 18106-9283
Phone (888) 982-8594

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Wilmington, DE, CCN 087021
  • Bayada at Inspira, Home Health and Hospice Home health agency, Millville, NJ, CCN 317089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN629877PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Live Urgent Care LLC CurrentSince Feb 1, 2022 Accepting new patients
Joseph P. Curreri, D.O., LLC CurrentSince Apr 1, 2019 Accepting new patients
American Telehealth, LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

41 E Kings Hwy
Fl 1
Audubon, NJ 08106

363 W Browning Rd
Unit A
Bellmawr, NJ 08031
Phone (856) 333-3616

217 Black Horse Pike
Haddon Hgts, NJ 08035
Phone (856) 522-0639

1000 Crawford Pl
Ste 160
Mount Laurel, NJ 08054
Phone (889) 828-5948

149 Pierce St
Ste 1D
Somerset, NJ 08873
Phone (732) 838-4942

200 Broadhollow Rd
Ste 207
Melville, NY 11747
Phone (516) 906-4970

150 Sunnyside Blvd
Plainview, NY 11803
Phone (516) 280-8811

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1477928489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "BARRINGTON",
            "state": "NJ",
            "postal_code": "080070159",
            "telephone_number": "215-768-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CRAWFORD PL STE 160",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543960",
            "telephone_number": "888-982-8594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 N Krocks Rd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181069283",
            "country_code": "US",
            "telephone_number": "888-982-8594",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "252 S 12th St",
            "address_2": "Apt 1F",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075629",
            "country_code": "US",
            "telephone_number": "215-768-4487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2004 Shipley Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198035248",
            "country_code": "US",
            "telephone_number": "888-982-8594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOPYTKO",
        "first_name": "MELISSA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-02",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "RN629877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.