COOPER SURGICAL ASSOCIATES, PA (NPI# 1336435957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336435957 |
| Entity Type | Organization |
| Organization Name | COOPER SURGICAL ASSOCIATES, PA |
| Practice Address |
3 Cooper Plz Suite 411 Camden NJ 08103-1438 |
| Mailing Address |
3 Cooper Plz Suite 502 Camden NJ 08103-1438 |
| Practice Telephone | 8563422270 |
| Practice Fax Number | 8563651180 |
| Mailing Telephone | 8569636888 |
| Mailing Fax Number | 8569688499 |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |
| Authorized Official Name | CAROLYN E BEKES (CHIEF MEDICAL OFFICER, SEVP) |
| Authorized Official Telephone | 8569636888 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERIHEALTH PROVIDER GROUP NUMBER | 1154440618 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326334632 | Cooper Surgical Associates, Pa | Surgery | 2 Plaza Dr, Suite 202, Sewell, NJ 08080-9207 | 2011-06-24 |
| 1699061903 | Cooper Surgical Associates, Pa | Oral & Maxillofacial Surgery | 2 Plaza Dr, Building 2, Suite 203, Sewell, NJ 08080-9207 | 2011-06-24 |
| 1528354149 | Cooper Surgical Associates, Pa | Urology | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2011-06-22 |
| 1467748087 | Cooper Surgical Associates, Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2011-06-22 |
| 1427344043 | Cooper Surgical Associates, Pa | Physical Therapist | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2011-06-22 |
| 1790071314 | Cooper Surgical Associates, Pa | Orthopaedic Surgery | 3 Cooper Plz, Suite 408, Camden, NJ 08103-1438 | 2011-06-22 |
| 1902192529 | Cooper Surgical Associates, Pa | Colon & Rectal Surgery | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2011-06-22 |
| 1629364245 | Cooper Surgical Associates, Pa | Pediatrics | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2011-06-22 |
| 1457647075 | Cooper Surgical Associates, Pa | Neurological Surgery | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2011-06-22 |
| 1841318813 | Cooper Surgical Associates, Pa | Oral & Maxillofacial Surgery | 2 Plaza Dr, Suite 202, Bunker Hill Plaza, Sewell, NJ 08080-9207 | 2007-03-27 |
| Street Address |
3 COOPER PLZ SUITE 411 |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164427241 | Christopher T Olivia | Ophthalmology | 3 Cooper Plz, Rm 510, Camden, NJ 08103-1438 | 2005-06-16 |
| 1932718897 | Yaritza Santana-orozco | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-27 |
| 1053929588 | Karl Leon Snyder | Counselor | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-21 |
| 1861000606 | Jordan Murphy | Community Health Worker | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-17 |
| 1740808823 | Alexandria Davenport | Physician Assistant | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-06 |
| 1457978629 | Osama M Sayed | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-02 |
| 1952948234 | Christy Lambert | Physical Therapist | 3 Cooper Plz, Camden, NJ 08103-1438 | 2019-12-05 |
| 1598301368 | Yamna Azhar | Pharmacist | 3 Cooper Plz, Camden, NJ 08103-1438 | 2019-11-26 |
| 1588215792 | Adisa Kljuco | Nurse Practitioner | 3 Cooper Plz, Camden, NJ 08103-1438 | 2019-09-28 |
| 1083272470 | Jasmine Marahar | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz, Camden, NJ 08103-1438 | 2019-05-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811216419 | Philip M Batista | Surgery | 3 Cooper Plz, Camden, NJ 08103 | 2010-05-20 |
| 1750544599 | Jose Trani | Surgery | 1 Cooper Plz, Camden, NJ 08103-1461 | 2008-07-02 |
| 1104096668 | Lourdes Medical Associates, Pa | Surgery | 1601 Haddon Ave, Camden, NJ 08103-3109 | 2008-03-11 |
| 1154440618 | Cooper Surgical Associates | Surgery | 3 Cooper Plz, Suite 403, Camden, NJ 08103-1438 | 2007-03-28 |
| 1649366956 | James B Alexander | Surgery | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2006-10-05 |
| 1528096625 | Jeffrey P. Carpenter | Surgery | 3 Cooper Plaza, Suite 502, Camden, NJ 08103 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801447784 | Heritage Wound Care LLC | Surgery | 163 Madison Ave Ste 220, Morristown, NJ 07960-7325 | 2019-09-23 |
| 1063063188 | Jvg Cardiovascular LLC | Surgery | 60 Baldwin Rd Ste 101b, Parsippany, NJ 07054-2901 | 2019-09-20 |
| 1558918359 | Varicose Veins Doctor Pa | Surgery | 3478 Kennedy Blvd, Jersey City, NJ 07307-4117 | 2019-08-26 |
| 1437701729 | Usa Vascular Center of New Jersey LLC | Surgery | 272 Main St Ste A, Orange, NJ 07050-3605 | 2019-07-16 |
| 1396301974 | Vascular & Vein Center of New Jersey LLC | Surgery | 10 Industrial Way E Ste 103, Eatontown, NJ 07724-3332 | 2019-05-19 |
| 1568936326 | Heritage Vascular PC | Surgery | 663 E Crescent Ave Ste 111, Ramsey, NJ 07446-1220 | 2019-01-15 |
| 1144761685 | Center for Vascular Medicine Nj, LLC | Surgery | 415 Route 24 Ste 6/7, Chester, NJ 07930-2920 | 2017-03-16 |
| 1134665631 | Robert S.walsky Md | Surgery | 22 Angela Ct, Woodcliff Lake, NJ 07677-8102 | 2017-01-09 |
| 1982074290 | Frontier Medical Care | Surgery | 301 Tavistock, Cherry Hill, NJ 08034-4020 | 2015-09-29 |
| 1023486925 | Associates In Vascular Care LLC Limb Salvage Center | Surgery | 1000 Route 35 South, Suite 300, Middletown, NJ 07748-2606 | 2015-09-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.