Victoria Coppola, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00426200 Issued in NJ

Practice address

40 Bey Lea Rd
Suite B203
Toms River, NJ 08753-2900

Phone

(732) 341-0720

NPI assigned

Mar 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: vcoppola71344@direct.nemours.org

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

{
    "created_epoch": "1488672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488672000000",
    "number": "1912447343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LANCELOT LN",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541913",
            "telephone_number": "856-206-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BEY LEA RD",
            "address_2": "SUITE B203",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532900",
            "telephone_number": "732-341-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPOLA",
        "first_name": "VICTORIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-05",
        "last_updated": "2017-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00426200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Margaret Cook, APN
• Gary M Cookson, P.T.
• Jennifer M Cooper, LCSW
• Bruce William Cooperman, DPM
• Bruce Coplin, M.D.
• Dominique Coppolino, MSW, LCSW
• Gregory Joseph Coram, PSY.D. & APN-BC
• Richelle Corbo, LPC
• Russell John Cornell, M.D.
• Cornerstone Medical and Surgical Associates L.L.C.

• Physician Assistant in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2017; 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.