COOPER PRIMARY CARE AT PENNSVILLE, PA (NPI# 1801803051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801803051 |
| Entity Type | Organization |
| Organization Name | COOPER PRIMARY CARE AT PENNSVILLE, PA |
| Practice Address |
390 North Broad Street Concord Professional Building, Ste 100 Pennsville NJ 08070 |
| Mailing Address |
1 Federal Street Sw-200 Camden NJ 08103-1155 |
| Practice Telephone | 8566786411 |
| Practice Fax Number | 8566787509 |
| Mailing Telephone | 8563564924 |
| Mailing Fax Number | 8563826455 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2016-07-27 |
| Authorized Official Name | ANTHONY J. MAZZARELLI (CHIEF MEDICAL OFFICE) |
| Authorized Official Telephone | 8569687858 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 15096 | 01 | |
| AMERIHEALTH | 0479412001 | 01 | |
| NJ | 7209908 | 05 |
| Street Address |
390 NORTH BROAD STREET CONCORD PROFESSIONAL BUILDING, STE 100 |
| City | PENNSVILLE |
| State | NJ |
| Zip Code | 08070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457843500 | Community Dental of Salem, P.C. | Dentist | 709 South Broadway, Pennsville, NJ 08070 | 2018-06-05 |
| 1962851378 | Optimal Health Solutions | Durable Medical Equipment & Medical Supplies | 390 N Broadway Ste 1400, Pennsville, NJ 08070 | 2016-06-07 |
| 1114120805 | Charles Arthur Evans | Dentist | 7 Benson Avenue, Pennsville, NJ 08070 | 2007-06-08 |
| 1346460516 | Guy Carrere Woodruff | Psychologist | 6 Humphreys Ave, Pennsville, NJ 08070 | 2007-04-27 |
| 1780700393 | Assisted Living Concepts Inc | Assisted Living Facility | 39 Supawna Road, Pennsville, NJ 08070 | 2007-03-22 |
| 1972655017 | Jerry J Popeck | Dentist | 133 North Broadway, Suite B, Pennsville, NJ 08070 | 2007-01-17 |
| 1548337330 | Ivan Mark Nadler | Chiropractor | 133c North Broadway, Pennsville, NJ 08070 | 2006-11-29 |
| 1841208873 | Joseph T Gallagher | Physical Therapist | 390n Broadway, Ste 400 Heartland Rehabilitation Service of Nj Inc, Pennsville, NJ 08070 | 2006-08-04 |
| 1508883695 | Marcellus A Maiatico | Physical Medicine & Rehabilitation | 270 South Broadway, Pennsville, NJ 08070 | 2006-07-16 |
| 1053337345 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 230 S Broadway, Pennsville, NJ 08070 | 2006-07-14 |
| Find all providers in zip 08070 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124088760 | Ashoke K Deb | Internal Medicine | 390 N Broadway Ste 100, Pennsville, NJ 08070-1253 | 2006-03-27 |
| 1699767889 | Kenneth N Del Vecchio | Internal Medicine | 145 North Broadway, Pennsville, NJ 08070 | 2005-08-16 |
| 1750444998 | Internal Medicne of South Jersey | Internal Medicine | 250 S Broadway, Suite B, Pennsville, NJ 08070-2700 | 2006-12-19 |
| 1063469401 | Sameer Ramesh Patel | Internal Medicine | 390 N Broadway Ste 100, Pennsville, NJ 08070 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080196 | Shaker Medical Group-hospitalists LLC | Internal Medicine | 155 Polifly Rd Ste 301, Hackensack, NJ 07601-1749 | 2020-10-16 |
| 1770180135 | Shama Patel | Internal Medicine | 760 Bound Brook Rd Ste A, Dunellen, NJ 08812-1079 | 2020-10-07 |
| 1174130835 | Dmm Medical Consulting Group | Internal Medicine | 4551 Route 42 Ste 3, Turnersville, NJ 08012-1751 | 2020-09-28 |
| 1437764859 | Edward Laub Md LLC | Internal Medicine | 2053 Klockner Rd, Trenton, NJ 08690-3413 | 2020-09-11 |
| 1285245076 | Wecare Medical Associates LLC | Internal Medicine | 19 Holly St Ste 2, Cranford, NJ 07016-2158 | 2020-08-14 |
| 1851902803 | Acute Medical Staffing | Internal Medicine | 197 State Route 18 Ste 3000, East Brunswick, NJ 08816-1440 | 2020-08-13 |
| 1992313746 | Advocare, LLC | Internal Medicine | 750 Route 73 S Ste 201a, Marlton, NJ 08053-4133 | 2020-07-17 |
| 1295353126 | Navneet Kaur Goraya | Internal Medicine | 8 Netter Ct, Marlboro, NJ 07746-2055 | 2020-07-07 |
| 1699390203 | Mehul Patel | Internal Medicine | 560 Sullivan Ave, Englewood Cliffs, NJ 07632-3119 | 2020-06-09 |
| 1922622133 | Hope Hematology & Oncology Associates LLC | Internal Medicine | 1477 Oak Tree Rd, Iselin, NJ 08830-1625 | 2020-06-03 |
| Find all providers with the same taxonomy | ||||
| City | PENNSVILLE |
| Zip Code | 08070 |
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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.