Organization Active NPI

Copilotiq Medical of New Jersey, PC

  • Primary Care Clinic/Center
  • Nashville, TN
National Provider Identifier
1881490753
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
COPILOTIQ MEDICAL OF NEW JERSEY, PC
Practice address
40 Burton Hills Blvd Ste 200
Nashville, TN 37215-5902
Phone
(615) 993-5359
NPI assigned
Feb 21, 2025
Organization subpart
Yes
Parent organization
COPILOTIQ, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Dr. Alice Greene, MD
Title
Managing Physician
Phone
(615) 380-4003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

40 Burton Hills Blvd Ste 200
Nashville, TN 37215-5902

Mailing address

40 Burton Hills Blvd Ste 200
Nashville, TN 37215-5902
Phone (615) 993-5359

Other practice location 1

8461 River Rd
Baldwinsville, NY 13027-9223
Phone (615) 380-4003

Other practice location 2

5080 Red Tail Run
Buffalo, NY 14221-4178
Phone (615) 380-4003

Other practice location 3

165 Van Houten Flds
West Nyack, NY 10994-2525
Phone (615) 380-4003

National Provider Directory

National Provider Directory
Part of
Copilotiq PC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1881490753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BURTON HILLS BLVD STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372155902",
            "telephone_number": "615-993-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BURTON HILLS BLVD STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372155902",
            "telephone_number": "615-993-5359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8461 River Rd",
            "address_purpose": "LOCATION",
            "city": "Baldwinsville",
            "state": "NY",
            "postal_code": "130279223",
            "country_code": "US",
            "telephone_number": "615-380-4003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5080 Red Tail Run",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142214178",
            "country_code": "US",
            "telephone_number": "615-380-4003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 Van Houten Flds",
            "address_purpose": "LOCATION",
            "city": "West Nyack",
            "state": "NY",
            "postal_code": "109942525",
            "country_code": "US",
            "telephone_number": "615-380-4003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COPILOTIQ MEDICAL OF NEW JERSEY, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COPILOTIQ, PC",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "615-380-4003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.