Kerri L Kopczuk, PA
Physician Assistant, Surgical in Montvale, New Jersey
1639481070- Practice location
- 50 Craig RD, Montvale, NJ 07645-1709
- Phone
- 888-636-7840
- Fax
- 267-479-1321
- Last updated
- June 8, 2022
Kerri Lynn Kopczuk is a Physician Assistant, Surgical based in Montvale, NJ. Kerri Lynn Kopczuk practices in Montvale, NJ and has the professional credentials of PA. The NPI Number for Kerri Lynn Kopczuk is 1639481070 and holds a License No. 014031 (NY). The current practice location address for Kerri Lynn Kopczuk is 50 Craig RD, Montvale, NJ 07645-1709 and can be reached out via phone at 888-636-7840 and via fax at 267-479-1321.
Provider Profile Details
- NPI Number
- 1639481070
- Provider Name
- Kerri Lynn Kopczuk
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 50 Craig RD, Montvale, NJ 07645-1709
- Phone Number
- 888-636-7840
- Fax Number
- 267-479-1321
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Other Names
- Kerri Lynn Michella (Former Name)
- Provider Enumeration Date
- July 13, 2010
- Last Update Date
- June 8, 2022
- Certification Date
- June 8, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 50 Craig RD
Montvale, NJ 07645-1709 - City
- Montvale
- State
- New Jersey
- Zip
- 07645-1709
- Phone Number
- 888-636-7840
- Fax Number
- 267-479-1321
Provider Business Mailing Address Details
- Address
- 833 Chestnut St Ste 520
Philadelphia, PA 19107-4430 - City
- Philadelphia
- State
- PA
- Zip
- 19107-4430
- Phone Number
- 609-677-7003
- Fax Number
- 267-339-3761
License Information
- License Number (1)
- 014031
- License State (1)
- NY
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 014031
- License State (2)
- NY
- Taxonomy (2)
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kerri L Kopczuk, PA?
The NPI number of Kerri L Kopczuk, PA is 1639481070. It was assigned on July 13, 2010 and is currently active in the NPPES registry.
What is the specialty of Kerri L Kopczuk, PA?
Kerri L Kopczuk, PA is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NY under license number 014031.
Where does Kerri L Kopczuk, PA practice?
The practice location is 50 Craig RD, Montvale, NJ 07645-1709. The office can be reached at 888-636-7840 (phone) or 267-479-1321 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639481070 directly on the NPPES registry website.