COOPER PEDIATRIC SPECIALISTS (NPI# 1497889760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497889760 |
| Entity Type | Organization |
| Organization Name | COOPER PEDIATRIC SPECIALISTS |
| Practice Address |
3 Cooper Plz Suite 200 Camden NJ 08103-1438 |
| Mailing Address |
3 Cooper Plz Suite 502 Camden NJ 08103-1438 |
| Practice Telephone | 8569688898 |
| Mailing Telephone | 8569687433 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT MCMULLEN (EVP MANAGED CARE) |
| Authorized Official Telephone | 8563427263 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 9024603 | 05 | |
| AMERIHEALTH GRP # | 2124417000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376745133 | Cooper Pediatric Specialists | Ophthalmology | 3 Cooper Plz, Suite 200, Camden, NJ 08103-1438 | 2007-06-04 |
| 1306968078 | Cooper Pediatric Specialists | Pediatrics | 6400 Main St, Voorhees, NJ 08043-4606 | 2007-04-04 |
| 1730213083 | Cooper Pediatric Specialists | Pediatrics | 3 Cooper Plz, Suite 200, Camden, NJ 08103-1438 | 2007-03-16 |
| 1942334610 | Cooper Pediatric Specialists | Psychiatry & Neurology | 110 Marter Ave, Suite 402, Moorestown, NJ 08057-3124 | 2007-03-15 |
| 1457484834 | Cooper Pediatric Specialists | Pediatrics | 1 Cooper Plz, Camden, NJ 08103-1461 | 2007-03-14 |
| 1497888689 | Cooper Pediatric Specialists | Pediatrics | 3 Cooper Plz, Suite 200, Camden, NJ 08103-1438 | 2007-03-14 |
| 1962535203 | Cooper Pediatric Specialists | Pediatrics | 3 Cooper Plz, Suite 200, Camden, NJ 08103-1438 | 2007-03-14 |
| 1639202062 | Cooper Pediatric Specialists | Pediatrics | 6400 Main St, Voorhees, NJ 08043-4606 | 2007-03-14 |
| 1568595627 | Cooper Pediatric Specialists | Pediatrics | 1 Cooper Plz, 7th Floor Dorrance, Camden, NJ 08103-1461 | 2007-03-14 |
| Street Address |
3 COOPER PLZ SUITE 200 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558443556 | Ernest M. Post | Pediatrics | 3 Cooper Plz, Suite 200, Camden, NJ 08103-1438 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295137172 | Camila Freitas Pereira-eshraghi | Pediatrics | 90 George Russell Way, Clifton, NJ 07013-2681 | 2014-09-22 |
| 1093149502 | Lisa Joy Schwartz | Pediatrics | 64 Ottawa Rd S, Marlboro, NJ 07746-1247 | 2013-09-03 |
| 1205115607 | Shilpa Narsing Kumta | Pediatrics | 140 E Ridgewood Ave Ste 480n, Paramus, NJ 07652-3917 | 2011-08-16 |
| 1780976332 | Laura Joyce Novello | Pediatrics | 180 Avenue At The Cmn Ste 7b, Shrewsbury, NJ 07702-4569 | 2011-05-13 |
| 1225365612 | Glenn Joseph Gormley | Pediatrics | 800 North Dr, Brick, NJ 08724-4816 | 2009-11-06 |
| 1700028396 | Shara Rose Bialo | Pediatrics | 1280 Almonesson Road, Deptford, NJ 08096-5502 | 2009-03-30 |
| 1598901647 | Paula Marie Hale | Pediatrics | 100 College Rd W, Princeton, NJ 08540-6658 | 2008-12-19 |
| 1225283310 | Mark Allen Bach | Pediatrics | 2140 Bayberry Ln, Scotch Plains, NJ 07076-4702 | 2008-11-18 |
| 1629277520 | Rutgers Health-rwj Pediatric Metabolism | Pediatrics | 89 French Street, Suite 2360, Child Health Institute of New Jersey, New Brunswick, NJ 08901 | 2007-07-12 |
| 1669562393 | Augustine O. Chikezie | Pediatrics | 6712 Washington Ave, Suite 203, Egg Harbor Twp, NJ 08234-1999 | 2006-10-13 |
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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.