COOPER SURGICAL ASSOCIATES (NPI# 1730372780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730372780 |
| Entity Type | Organization |
| Organization Name | COOPER SURGICAL ASSOCIATES |
| Practice Address |
3 Cooper Plz Suite 411 Camden NJ 08103-1438 |
| Mailing Address |
3 Cooper Plz Suite 502 Camden NJ 08103-1438 |
| Practice Telephone | 8563423275 |
| Mailing Telephone | 8569687433 |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |
| Authorized Official Name | ROBERT MCMULLEN (EVP MANAGED CARE) |
| Authorized Official Telephone | 8569687263 |
| Is Organization Subpart | Y |
| Parent Organization Name | COOPER SURGICAL ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AMERIHEALTH/KEYSTONE/IBC | 2843030000 | 01 |
| NJ | 119694 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093902009 | Cooper Surgical Associates | Surgery | 1 Cooper Plz, Cooper Univeristy Hospital, Camden, NJ 08103-1461 | 2007-10-03 |
| 1467645416 | Cooper Surgical Associates | Neurological Surgery | 3 Cooper Plz, Suite 403, Camden, NJ 08103-1438 | 2007-08-23 |
| 1003009051 | Cooper Surgical Associates | Podiatrist | 4 Plaza Dr, Suite 402, Sewell, NJ 08080-2747 | 2007-08-23 |
| 1194918144 | Cooper Surgical Associates | Plastic Surgery | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2007-08-23 |
| 1326167933 | Cooper Surgical Associates | Occupational Therapist | 3 Cooper Plz, Suite 518, Camden, NJ 08103-1438 | 2007-03-28 |
| 1770602286 | Cooper Surgical Associates | Physical Therapist | 3 Cooper Plz, Suite 518, Camden, NJ 08103-1438 | 2007-03-28 |
| 1568581981 | Cooper Surgical Associates | Orthopaedic Surgery | 3740 W Chester Pike, Newtown Square, PA 19073-3223 | 2007-03-28 |
| 1154440618 | Cooper Surgical Associates | Surgery | 3 Cooper Plz, Suite 403, Camden, NJ 08103-1438 | 2007-03-28 |
| 1295854412 | Cooper Surgical Associates | Surgery | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2007-03-28 |
| 1104945328 | Cooper Surgical Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2007-03-28 |
| 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 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083900609 | Cooper Surgical Associates,pa | Otolaryngology | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2011-06-22 |
| 1225293723 | Yekaterina A Koshkareva | Otolaryngology | 2 Cooper Plz, Camden, NJ 08103 | 2008-07-23 |
| 1275797755 | Donald H. Solomon | Otolaryngology | 3 Cooper Plz Rm 403, Camden, NJ 08103-1438 | 2008-07-15 |
| 1174732200 | Thomas Christopher Spalla | Otolaryngology | 3 Cooper Plz, Camden, NJ 08103-1438 | 2007-05-22 |
| 1730306085 | Sunny Park | Otolaryngology | 3 Cooper Plz, Sutie 411, Camden, NJ 08103-1438 | 2007-04-19 |
| 1396969549 | Nadir Ahmad | Otolaryngology | 3 Cooper Plz Rm 403, Camden, NJ 08103-1438 | 2007-04-12 |
| 1124143482 | Beth R Duncan | Otolaryngology | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2007-03-19 |
| 1376637124 | Patrick Houston | Otolaryngology | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962977249 | Clinical Health Care Associates of New Jersey, PC | Otolaryngology | 719 Us Highway 206 Ste 101, Hillsborough, NJ 08844-1529 | 2018-10-12 |
| 1962918078 | Ira Sanders | Otolaryngology | 5 Rye Cliff Rd, Oakland, NJ 07436-1423 | 2017-12-27 |
| 1053772608 | St. Luke's Warren Physician Group, PC | Otolaryngology | 755 Memorial Pkwy Ste 112, Phillipsburg, NJ 08865-2774 | 2016-03-10 |
| 1023484052 | Eun Hae Chang | Otolaryngology | 1131 Broad St Ste 102, Shrewsbury, NJ 07702-4334 | 2015-08-13 |
| 1184010415 | Alisa Yamasaki | Otolaryngology | 1543 State Route 27 Ste 21, Somerset, NJ 08873-4015 | 2015-04-14 |
| 1134532708 | Ahmad F Mahmoud | Otolaryngology | 6 Brighton Rd Ste 104, Clifton, NJ 07012-1647 | 2014-06-11 |
| 1881007250 | David A Temmermand | Otolaryngology | 620 North Broad Street, Woodbury, NJ 08096 | 2014-06-03 |
| 1477986420 | Amit N Bhojwani | Otolaryngology | 708 Gregorys Way, Voorhees, NJ 08043-2055 | 2013-08-14 |
| 1831440726 | Anthony G Rossi | Otolaryngology | 912 Pompton Ave, Suite A1, Cedar Grove, NJ 07009-1264 | 2012-10-02 |
| 1871802751 | Ronald B Lorenc Md Pa | Otolaryngology | 225 Laurel Heights Dr, Bridgeton, NJ 08302-3635 | 2010-09-27 |
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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.