COOPER PEDIATRIC SPECIALIST (NPI# 1770616153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770616153 |
| Entity Type | Organization |
| Organization Name | COOPER PEDIATRIC SPECIALIST |
| Practice Address |
3 Cooper Plz Suite 200 Camden NJ 08103-1438 |
| Mailing Address |
3 Cooper Plz Suite 502 Camden NJ 08103-1438 |
| Practice Telephone | 8563422000 |
| Mailing Telephone | 8569687433 |
| Enumeration Date | 2007-03-14 |
| 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 | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERIHEALTH GRP NUMBER | 2125254000 | 01 | |
| NJ | 9024603 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962525485 | Cooper Pediatric Specialist | Pediatrics | 3 Cooper Plz, Suite 200, Camden, NJ 08103-1438 | 2007-04-09 |
| 1740301605 | Cooper Pediatric Specialist | Pediatrics | 4 Plaza Dr Ste 401, Bunker Hill Plaza, Sewell, NJ 08080-2747 | 2007-04-02 |
| 1972634129 | Cooper Pediatric Specialist | Pediatrics | 6400 Main St, Voorhees, NJ 08043-4606 | 2007-03-08 |
| 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 | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| 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) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699061416 | Khalil William Savary | Pediatrics | 90 Bergen St Ste 5200, Newark, NJ 07103-2425 | 2011-06-20 |
| 1730328394 | Ashish C Shah | Pediatrics | 3086 State Route 27, Suite 10, Kendall Park, NJ 08824-1658 | 2009-02-05 |
| 1629241682 | Elsa J Roe | Pediatrics | 5 Barkman Way, Chester, NJ 07930-2222 | 2008-04-10 |
| 1407914633 | Nelson L. Turcios | Pediatrics | 579 Cranbury Rd Ste A, East Brunswick, NJ 08816-5405 | 2006-12-04 |
| 1316032998 | Steven Jay Kanengiser | Pediatrics | 505 Goffle Road, Ridgewood, NJ 07450 | 2006-10-03 |
| 1275642373 | William F Kottler | Pediatrics | 48 Essex St, Millburn, NJ 07041-1607 | 2006-08-30 |
| 1407860406 | Dorothy Stein Bisberg | Pediatrics | 375 Mount Pleasant Ave., Suite 105, West Orange, NJ 07052 | 2006-07-28 |
| 1699710137 | Maya Ramagopal | Pediatrics | 89 French Street, Suite 2218, New Brunswick, NJ 08903-0019 | 2006-06-18 |
| 1902875461 | Lourdes R Laraya Cuasay | Pediatrics | 67 Route 37 W, Riverwood II Bldg. 3rd Floor, Toms River, NJ 08755-6400 | 2006-03-16 |
| 1487644589 | Caitlin A Papastamelos | Pediatrics | 1304 Laurel Oak Rd, Voorhees, NJ 08043-4310 | 2005-10-28 |
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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.