Organization Active NPI

Anna V. Kopec, MD

  • Clinical & Laboratory Dermatological Immunology Physician
  • Bayonne, NJ
National Provider Identifier
1891976197
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Dermatological Immunology PhysicianTaxonomy code 207NI0002X
License
25MA07155800 Issued in NJ
Legal business name
ANNA V. KOPEC, MD
Practice address
730 Kennedy Blvd
Bayonne, NJ 07002-1838
Phone
(201) 858-4300
Fax
(201) 339-0708
NPI assigned
Nov 15, 2007
Last updated
Dec 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Dr. Anna Veronica Kopec, MDNPI 1477644599
Title
Doctor
Phone
(201) 858-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X 25MA07155800 NJ Primary

Addresses

Primary practice location

730 Kennedy Blvd
Bayonne, NJ 07002-1838

Mailing address

730 Kennedy Blvd
Bayonne, NJ 07002-1838
Phone (201) 858-4300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1891976197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 KENNEDY BLVD",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021838",
            "telephone_number": "201-858-4300",
            "fax_number": "201-339-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 KENNEDY BLVD",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021838",
            "telephone_number": "201-858-4300",
            "fax_number": "201-339-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA V. KOPEC, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "KOPEC",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "VERONICA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "201-858-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "NJ",
            "license": "25MA07155800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.