# MR. KENNETH J. KOPACZ

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205944709
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 25MA05400200 | NJ | Yes |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | 25MA05400200 | NJ | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | MA054002 | NJ | — |

## Other

- **Enumeration date:** 08/26/2006
- **Last updated:** 02/18/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | ES546 | OXFORD | — |
| 01 | — | F12538 | HEALTHNET | — |