ELISSA KOPLIK LLC
NPI 1689874570
Psychologist - Clinical in Milltown, NJ
About Elissa Koplik Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELISSA KOPLIK LLC (NPI 1689874570) is a healthcare organization registered as a clinical in Milltown, New Jersey and active in the NPI registry since July 2007. The organization lists Elissa K Koplik, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elissa Koplik Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Elissa Koplik LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Elissa Koplik LLC's NPI number?
The NPI number for Elissa Koplik LLC is 1689874570. It was assigned to this organization in the NPPES registry on July 19, 2007.
Where is Elissa Koplik LLC located?
Elissa Koplik LLC is located at 161 S Main St, Milltown, NJ 08850. The listed phone number is (732) 246-4446.
What is Elissa Koplik LLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Elissa Koplik LLC enrolled in Medicare?
Yes. Elissa Koplik LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Elissa Koplik LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Elissa Koplik LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Elissa Koplik LLC was last updated on May 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Elissa Koplik Llc · NPI 1689874570
Clinical organization in Milltown, New Jersey. Organization record, active in the CMS NPPES registry since July 19, 2007.
## Identity
- **NPI:** 1689874570 (Entity type: Organization)
- **Enumerated:** July 19, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Elissa Koplik, PRESIDENT
## Practice location
- **Address:** 161 S MAIN ST, Milltown, NJ 08850-1800
- **Phone:** (732) 246-4446
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 8, 2008
- **Other identifiers:** Medicare PIN 112980 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1689874570) · Data from the CMS NPPES public registry.