COOPER SURGICAL ASSOCIATES, PA (NPI# 1457647075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457647075 |
| 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 | 8569687968 |
| Practice Fax Number | 8569688697 |
| 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 | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AMERIHEALTH GROUP PROVIDER NUMBER | 2843955000 | 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 |
| 1336435957 | Cooper Surgical Associates, Pa | Surgery | 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 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033433966 | Christopher Bilbao | Neurological Surgery | 3 Cooper Plz Rm 104, Camden, NJ 08103-1407 | 2010-03-22 |
| 1013143627 | Bradley Allen Dengler | Neurological Surgery | 3 Cooper Plz Rm 104, Camden, NJ 08103 | 2009-06-09 |
| 1073761375 | Corey Michael Mossop | Neurological Surgery | 3 Cooper Plz Rm 104, Camden, NJ 08103-1407 | 2008-08-29 |
| 1467645416 | Cooper Surgical Associates | Neurological Surgery | 3 Cooper Plz, Suite 403, Camden, NJ 08103-1438 | 2007-08-23 |
| 1740360247 | Brian T Jankowitz | Neurological Surgery | 3 Cooper Plz Rm 104, Camden, NJ 08103-1407 | 2006-10-17 |
| 1730272550 | Steven S Yocom | Neurological Surgery | 3 Cooper Plz, Suite 104, Camden, NJ 08103-1438 | 2006-10-02 |
| 1497851927 | Howard W Goldman | Neurological Surgery | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2006-09-15 |
| 1346266939 | Melissa Ann Carran | Neurological Surgery | 3 Cooper Plz, Suite 215 (neurology), Camden, NJ 08103-1438 | 2006-07-15 |
| 1174554901 | Amy Colcher | Neurological Surgery | 3 Cooper Plz, Suite 215, Camden, NJ 08103-1438 | 2006-07-06 |
| 1740256965 | Mindy Susan Haenn | Neurological Surgery | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2006-02-27 |
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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.