Individual
MR. KENNETH J. KOPACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 SO. ORANGE AVE, SUITE 180 ANNEX, LIVINGSTON, NJ 07039
(973) 226-2725
(973) 226-3270
Mailing address
200 SO. ORANGE AVE, SUITE 180 ANNEX, LIVINGSTON, NJ 07039
(973) 226-2725
(973) 226-3270
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA05400200
NJ
207XS0117X
Orthopaedic Surgery of the Spine Physician
25MA05400200
NJ
207XS0117X
Orthopaedic Surgery of the Spine Physician
MA054002
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ES546
OXFORD
—
01
—
F12538
HEALTHNET
—
Enumeration date
08/26/2006
Last updated
02/18/2026
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