COOPER FAMILY MEDICINE PC (NPI# 1912354580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912354580 |
| Entity Type | Organization |
| Organization Name | COOPER FAMILY MEDICINE PC |
| Practice Address |
3 Cooper Plz 104 Camden NJ 08103-1438 |
| Mailing Address |
1 Federal St Suite Sw200 Camden NJ 08103-1088 |
| Practice Telephone | 8563422445 |
| Practice Fax Number | 8569640504 |
| Mailing Telephone | 8563564920 |
| Mailing Fax Number | 8563826455 |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |
| Authorized Official Name | ANTHONY MAZZARELLI (CMO) |
| Authorized Official Telephone | 8569687858 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NPI GROUP# | 1649217175 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174737969 | Cooper Family Medicine PC | Family Medicine | 47 Haddon Ave, Haddon Township, NJ 08108-2733 | 2007-05-10 |
| 1508229790 | Cooper Family Medicine PC | Family Medicine | 200 College Drive, Blackwood, NJ 08012-3228 | 2016-04-04 |
| 1467655902 | Cooper Family Medicine PC | Family Medicine | 1001 Lincoln Dr W Ste F, Marlton, NJ 08053-1534 | 2007-06-11 |
| 1285837724 | Cooper Family Medicine PC | Family Medicine | 1050 Kings Hwy N, Suite 105, Cherry Hill, NJ 08034-1909 | 2007-06-11 |
| 1891998787 | Cooper Family Medicine PC | Family Medicine | 639 Cooper St, B-12, Camden, NJ 08102-1116 | 2007-06-07 |
| 1568665594 | Cooper Family Medicine PC | Family Medicine | 603 N Broad St, Woodbury, NJ 08096-1619 | 2007-06-07 |
| 1962616763 | Cooper Family Medicine PC | Family Medicine | 123 Egg Harbor Rd, Building 600, Suite 604 Tower Commons, Sewell, NJ 08080 | 2007-05-10 |
| 1093929895 | Cooper Family Medicine PC | Family Medicine | 110 Marter Ave, Suite 503, Moorestown, NJ 08057-3124 | 2007-05-10 |
| Street Address |
3 COOPER PLZ 104 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467095463 | Ouachita Physician Services, LLC | Family Medicine | 415 Hospital Dr Ste 4, Camden, AR 71701-4651 | 2019-10-22 |
| 1942658349 | Christina Ferrari | Family Medicine | 800 Cooper St # 4, Camden, NJ 08102-1155 | 2016-05-26 |
| 1528396710 | Benjamin Sommer | Family Medicine | 5 Masonic Ave, Camden, NY 13316-1234 | 2009-11-26 |
| 1043417496 | Bradley D Isbister | Family Medicine | 100 Plank Bridge Road, Camden, NC 27921 | 2007-06-29 |
| 1043436371 | Susan Gail Fesnak | Family Medicine | 2 Riverside Drive, 1 Port Center, Suite 401, Camden, NJ 08103-1018 | 2007-04-17 |
| 1093834574 | Rollin Wycoff Md | Family Medicine | 2285 Maul Rd, Camden, AR 71701-2511 | 2007-03-28 |
| 1861529430 | Patricia A. Prior | Family Medicine | 326 Penn St, Camden, NJ 08102-1410 | 2007-02-28 |
| 1144365115 | Albemarle Family Practice Pllc | Family Medicine | 160c Hwy 158, Camden, NC 27921-6908 | 2007-02-20 |
| 1811040603 | Center City Medical Associates Pa | Family Medicine | 506 Broadway, Camden, NJ 08103 | 2007-01-18 |
| 1689730343 | Henry Lawrence Morganstein | Family Medicine | 1809 Broadway, Camden, NJ 08104-1333 | 2006-12-28 |
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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.