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ADAM KOPELAN
NPI 1679573307
Specialist in Millburn, NJ

Active since July 22, 2005PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
225 MILLBURN AVE, SUITE 104B, MILLBURN, NJ 07041(973) 379-5888(973) 912-9757 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 30, 2024, Apr 23, 2024 (2 updates tracked since 2024).

About Adam Kopelan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADAM KOPELAN (NPI 1679573307) is an individual specialist in Millburn, New Jersey, licensed in New Jersey (25MA07605700) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and is a graduate of New York University School Of Medicine (1996).

NPPES Registry Identity

NPI1679573307
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameADAM KOPELAN
Location Address225 MILLBURN AVE, SUITE 104BMillburn, NJ 07041-1737
Mailing Address225 Millburn Ave, Suite 104bMillburn, NJ 07041-1737 · (973) 379-5888 · Fax (973) 912-9757
Phone(973) 379-5888
Fax(973) 912-9757
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1996
Enumeration DateJuly 22, 2005
Last NPPES UpdateApril 30, 20242 updates tracked since enumeration
NPPES CertifiedApril 30, 2024
✔ NPI 1679573307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · 25MA07605700
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedSurgeryTaxonomy 208600000X · License 25MA07605700 (NJ)
225 MILLBURN AVE, Millburn, NJ 07041
Open in Google Maps ↗

Other Identifiers 7

Other7943610NJ · Aetna Ppo #
Other3630367NJ · Aetna Hmo #
Medicaid0052281NJ
Other8221580NJ · Ghi Ppo #
Other2K8702NJ · Healthnet #
Other2417571000NJ · Amerihealth #
OtherP00123010NJ · Railroad Mdcr #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adam Kopelan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668447319
PECOS Enrollment IDI20040827000116
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Adam Kopelan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barnabas Health Medical Group, PC
2.7 mi
Specialist
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 757 clinicians in this Medicare group
NPI 1447206420 (888) 724-7123
Newark Beth Israel Medical Center Inc
4.6 mi
General Acute Care Hospital
201 LYONS AVE
Newark, NJ 07112
  • Reassigned Medicare billing, New Jersey enrollment
  • 79 clinicians in this Medicare group
NPI 1033210323 (732) 557-7119
Barnabas Health Medical Group PC
6.3 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123
Robert Wood Johnson Medical Associates At Hamilton PA
6.5 mi
General Practice
328 W SAINT GEORGES AVE
Linden, NJ 07036
  • Reassigned Medicare billing, New Jersey enrollment
  • 60 clinicians in this Medicare group
NPI 1619206828 (908) 925-2273
Avenel Iselin Medical Group, LLC
11 mi
Durable Medical Equipment & Medical Supplies
400 GILL LN
Iselin, NJ 08830
  • Reassigned Medicare billing, New Jersey enrollment
  • 29 clinicians in this Medicare group
NPI 1487674867 (732) 404-1580

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
15 services13 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Newark Beth Israel Medical Center

Acute Care Hospitals · Newark, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310002
Location201 Lyons AveNewark, NJ 07112 · Essex County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STUART BASKIN, M.D., P.A.
Internal Medicine (Nephrology)
225 MILLBURN AVE, SUITE 304
MILLBURN, NJ 07041
Essex County (973) 218-1800
DR. YETUNDE ADEOLA MD
Psychiatry & Neurology (Psychiatry)
225 MILLBURN AVE, SUITE 210
MILLBURN, NJ 07041
Essex County (973) 494-4614
WENDY BOND LCSW
Social Worker (Clinical)
225 MILLBURN AVE, SUITE 209A
MILLBURN, NJ 07041
Essex County (973) 564-9556
M. KEVIN O'CONNOR MD LLC
Clinic/Center (Adult Mental Health)
225 MILLBURN AVE, SUITE 210
MILLBURN, NJ 07041
Essex County (973) 912-0200
GARDEN STATE BARIATRICS & WELLNESS CENTER,LLC
Family Medicine (Obesity Medicine)
225 MILLBURN AVE, SUITE 204
MILLBURN, NJ 07041
Essex County (973) 218-1990
AMY BLOCK LCSW
Social Worker (Clinical)
225 MILLBURN AVE, SUITE 209A
MILLBURN, NJ 07041
Essex County (201) 306-3758
PASE HEALTHCARE, PC
Internal Medicine
225 MILLBURN AVE, SUITE 303
MILLBURN, NJ 07041
Essex County (973) 912-7273
DR. MUBASHIR SHABIL BILLAH M.D.
Urology
225 MILLBURN AVE
MILLBURN, NJ 07041
Essex County (973) 218-9400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam Kopelan's NPI number?

The NPI number for Adam Kopelan is 1679573307. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Adam Kopelan located?

Adam Kopelan practices at 225 Millburn Ave Suite 104B, Millburn, NJ 07041. The listed phone number is (973) 379-5888.

What is Adam Kopelan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Adam Kopelan enrolled in Medicare?

Yes. Adam Kopelan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Adam Kopelan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Kopelan reassigns Medicare benefits to 5 organizations: Barnabas Health Medical Group, PC (West Orange, NJ), Newark Beth Israel Medical Center Inc (Newark, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ), Robert Wood Johnson Medical Associates At Hamilton PA (Linden, NJ) and Avenel Iselin Medical Group, LLC (Iselin, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adam Kopelan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Kopelan accept?

Health plans from Ambetter Health and Oscar Health list Adam Kopelan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Adam Kopelan affiliated with any hospitals?

According to CMS data, Adam Kopelan is affiliated with Newark Beth Israel Medical Center.

When was this NPI record last updated?

The NPPES record for Adam Kopelan was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.