Provider Demographics
NPI:1437146560
Name:LOPATYNSKY, MARTA O (MD)
Entity Type:Individual
Prefix:
First Name:MARTA
Middle Name:O
Last Name:LOPATYNSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:MARTA
Other - Middle Name:
Other - Last Name:LOPATYNSKY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:261 JAMES STREET
Mailing Address - Street 2:SUITE 2D
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960
Mailing Address - Country:US
Mailing Address - Phone:973-984-3937
Mailing Address - Fax:973-984-0059
Practice Address - Street 1:261 JAMES STREET
Practice Address - Street 2:SUITE 2D
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960
Practice Address - Country:US
Practice Address - Phone:973-984-3937
Practice Address - Fax:973-984-0059
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA061705207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ706254DNRMedicare ID - Type Unspecified
E47198Medicare UPIN
NJ1246660001Medicare NSC