Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Mary Jane Kopakowski

Individual provider Nurse Practitioner · NPI 1124132816

Mrs. Mary Jane Kopakowski is a Nurse Practitioner in Haddon Heights, New Jersey. Qualified in 2005, 21 years ago. Practices with Cardiovascular Associates of the Delaware Valley, P A, a 94-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
21
Licensed in
NJ
In the registry since
2006
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Practice location Address checks out

210 W Atlantic Ave
Haddon Heights, NJ 08035-1715
Phone: (856) 546-3003
Fax: (856) 547-3178
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NJ00105300 (NJ)

Record details

NPI number1124132816
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 18, 2006
Last updated in NPPESOctober 31, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Cardiovascular Associates Of The Delaware Valley,P A — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Haddon Heights