KEVIN NORMAN KOPACK (NPI# 1740577964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740577964 |
| Entity Type | Organization |
| Organization Name | KEVIN NORMAN KOPACK |
| Practice Address |
297 Passaic Ave Unit 3 Fairfield NJ 07004-2503 |
| Practice Telephone | 9732274280 |
| Practice Fax Number | 9732274210 |
| Mailing Telephone | 9732274280 |
| Mailing Fax Number | 9732274210 |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-11-18 |
| Authorized Official Name | MR. KEVIN NORMAN KOPACK (PHYSICAL THERAPIST/OWNER) |
| Authorized Official Telephone | 9732274280 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
40QAO0335300 | NJ | Ambulatory Health Care Facilities |
| Street Address |
297 PASSAIC AVE UNIT 3 |
| City | FAIRFIELD |
| State | NJ |
| Zip Code | 07004-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659772523 | Jeffrey Michael Kopack | Physical Therapist | 297 Passaic Ave, Unit 3, Fairfield, NJ 07004-2503 | 2014-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543695 | Dr. Mae J. Balaban & Associates LLC | Psychologist | 333 A U.S. Highway 46 W Ste 260, Fairfield, NJ 07004 | 2019-11-18 |
| 1477103547 | Kdds Too, Inc. | Community/Behavioral Health | 28 Dwight Place, Fairfield, NJ 07004 | 2019-09-19 |
| 1912487711 | Vela Diagnostics Usa Inc | Clinical Medical Laboratory | 353c Us Route 46, Suite 250, Fairfield, NJ 07004 | 2018-08-21 |
| 1285111864 | Advance Home Physical Therapy LLC | Physical Therapist | 9 Belair Dr, Fairfield, NJ 07004 | 2018-07-25 |
| 1063808962 | Homecare Rx Inc. | Pharmacy | 695 Us Hwy. 46, Ste. 100, Fairfield, NJ 07004 | 2015-04-08 |
| 1336544832 | Villo' Fiddler | Pharmacist | 632 Rt. 46 East, Fairfield, NJ 07004 | 2014-10-27 |
| 1093133746 | Simone Alicia Douge | Family Medicine | 700 Route 46 E Ste 450, Fairfield, NJ 07004 | 2014-03-31 |
| 1386905529 | Med Life LLC | Ambulance | 295 Route 46 West, Suite 201, Fairfield, NJ 07004 | 2012-06-05 |
| 1164792453 | Daniel Seth Greenbaum | Dentist | 592 Us Highway 46, Fairfield, NJ 07004 | 2012-01-04 |
| 1447529425 | Yelena Daysudov | Pharmacist | 180 Passaic Avenue, Fairfield, NJ 07004 | 2011-12-21 |
| Find all providers in zip 07004 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669009973 | Arvin Velarde | Clinic/Center | 630 Verona Ct, Fairfield, CA 94534-6752 | 2020-03-25 |
| 1235166513 | Matrix Rehabilitation Ohio, Inc | Clinic/Center | 3174 Mack Rd, Unit 6&7, Fairfield, OH 45014-5369 | 2006-06-26 |
| 1790789295 | Vibrantcare Outpatient Rehabilitation of California Inc | Clinic/Center | 3001 Dover Ave, Suite B, Fairfield, CA 94533-9795 | 2005-06-13 |
| 1477197747 | Manual Therapy Specialists | Clinic/Center | 1300 Post Rd Ste 210, Fairfield, CT 06824-6038 | 2019-10-30 |
| 1578104667 | Perfect Ten Physical Therapy | Clinic/Center | 27 Law Dr, Fairfield, NJ 07004-3206 | 2019-10-01 |
| 1598134082 | Soulcare Physical Therapy,llc | Clinic/Center | 79 S Benson Rd, Fairfield, CT 06824-6230 | 2015-09-15 |
| 1013209139 | Kamryn Michelle Krueger | Clinic/Center | 2000 S Main St, Fairfield, IA 52556-9572 | 2011-05-08 |
| 1255590675 | Preneta Physical Therapy, PC | Clinic/Center | 2119 Post Rd, Fairfield, CT 06824-5657 | 2008-06-02 |
| 1750585386 | Elizabeth L. Upton, Mspt LLC | Clinic/Center | 303 Linwood Ave, Unit 1c, Fairfield, CT 06824-4900 | 2007-06-14 |
| 1154400927 | John Jarecki Physical Therapy Services LLC | Clinic/Center | 1735 Post Rd, Suite 7, Fairfield, CT 06824-5782 | 2006-11-03 |
| Find all providers in FAIRFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.