COOPER PEDIATRIC SPECIALISTS (NPI# 1942334610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942334610 |
| Entity Type | Organization |
| Organization Name | COOPER PEDIATRIC SPECIALISTS |
| Practice Address |
110 Marter Ave Suite 402 Moorestown NJ 08057-3124 |
| Mailing Address |
3 Cooper Plz Suite 502 Camden NJ 08103-1438 |
| Practice Telephone | 8567229551 |
| Mailing Telephone | 8569687433 |
| Enumeration Date | 2007-03-15 |
| 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 | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 9024603 | 05 | |
| AMERIHEALTH GRP NUMBER | 2126166000 | 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 |
| 1497889760 | Cooper Pediatric Specialists | Pediatrics | 3 Cooper Plz, Suite 200, Camden, NJ 08103-1438 | 2007-03-16 |
| 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 |
110 MARTER AVE SUITE 402 |
| City | MOORESTOWN |
| State | NJ |
| Zip Code | 08057-3124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556470 | Phyllis Horning Detwiler | Dentist | 110 Marter Ave, Suite 204, Moorestown, NJ 08057-3124 | 2005-05-23 |
| 1801335294 | Wendy Preihs | Counselor | 110 Marter Ave, Suite 201, Moorestown, NJ 08057-3124 | 2017-02-17 |
| 1215470174 | Delaware Valley Psychological Services, LLC. | Psychologist | 110 Marter Ave, Suite 201, Moorestown, NJ 08057-3124 | 2016-11-28 |
| 1093062002 | Daniel Schaeffler | Dentist | 110 Marter Ave, Suite 204, Moorestown, NJ 08057-3124 | 2012-08-08 |
| 1689933350 | Steven Horvitz, D.o., Family Medicine, P.C. | Family Medicine | 110 Marter Ave, Suite 408, Moorestown, NJ 08057-3124 | 2012-05-15 |
| 1508123886 | Kathleen Ann Milano | Psychologist | 110 Marter Ave, Suite 206, Moorestown, NJ 08057-3124 | 2012-04-11 |
| 1710291307 | Wai Ben Chan | Family Medicine | 110 Marter Ave, Moorestown, NJ 08057-3124 | 2010-08-06 |
| 1588985188 | Monique Kamaria Chheda | Dermatology | 110 Marter Ave, Suite 102, Moorestown, NJ 08057-3124 | 2010-06-17 |
| 1912237793 | Moorestown Dental Associates, LLC | Dentist | 110 Marter Ave, Suite 204, Moorestown, NJ 08057-3124 | 2009-12-30 |
| 1225212970 | Cynthia Biddle Coyne | Physical Therapist | 110 Marter Ave, Building 500, Suite 504, Moorestown, NJ 08057-3124 | 2007-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689209074 | Raquel Maria Screnci | Physical Therapy Assistant | Powerback, 212 Marter Avenue, Moorestown, NJ 08057 | 2020-03-06 |
| 1801363544 | Acts Signature Community Services, Inc. | Internal Medicine | 309 Bridgeboro Road, Moorestown, NJ 08057 | 2018-10-31 |
| 1427547447 | Bpt Physical Therapy LLC | Clinic/Center | 341 New Albany Rd Ste 120, Moorestown, NJ 08057 | 2018-05-04 |
| 1912416363 | Gold Bear Shuttle | Bus | 300 Mill Street, Moorestown, NJ 08057 | 2017-09-28 |
| 1811422595 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 67 Janeway Ave, Delran, NJ 08057 | 2017-05-01 |
| 1972050789 | Therapeutic Alternatives | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 236 West Route 38, Suite 210, Moorestown, NJ 08057 | 2016-09-09 |
| 1740653088 | Cathleen Wright | Acupuncturist | 505 South Lenola Road, Suite 121, Moorestown, NJ 08057 | 2015-11-09 |
| 1720469521 | Alexander's Vision Community Services, LLC | Supports Brokerage | 118 Oakmont Drive, Moorestown, NJ 08057 | 2015-06-17 |
| 1588045835 | Delta Community Supports, Inc. | Day Training, Developmentally Disabled Services | 740a Bellevue Ave, Hammonton, NJ 08057 | 2015-06-12 |
| 1164818134 | Rebecca Lynn Martz | Family Medicine | 740 Marne Hwy Ste 206, Moorestown, NJ 08057 | 2015-04-07 |
| Find all providers in zip 08057 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598976417 | Child Neurology Services of Southern New Jersey, P.a. | Psychiatry & Neurology | 110 Marter Ave, Suite 410, Moorestown, NJ 08057-3124 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316467640 | Kidsneuro, LLC | Psychiatry & Neurology | 205 Browertown Rd Ste 1, Woodland Park, NJ 07424-2610 | 2017-06-27 |
| 1255871547 | Vinayak Dattatraya Bodas | Psychiatry & Neurology | 268 M.l. King Blvd., Newark, NJ 07102 | 2017-03-06 |
| 1013306885 | Namita Garg | Psychiatry & Neurology | 7 Bell St, Apartment # 401, Montclair, NJ 07042-2232 | 2015-01-16 |
| 1477895167 | Bridget Anne Leone | Psychiatry & Neurology | 200 S Orange Ave Ste 165, Livingston, NJ 07039 | 2013-03-20 |
| 1700047594 | Vikram Bhise | Psychiatry & Neurology | 89 French St Fl 2, Children's Health Institute of New Jersey, New Brunswick, NJ 08901-1935 | 2008-06-24 |
| 1952526816 | German Laufer | Psychiatry & Neurology | 22 Knutsen Dr, West Orange, NJ 07052-2162 | 2007-04-16 |
| 1215096524 | Neuroscience Assoc Md Pa | Psychiatry & Neurology | 31 Mountain Blvd Bldg A, Warren, NJ 07059-5645 | 2006-12-06 |
| 1700961307 | Beverly Fischer | Psychiatry & Neurology | 4 Chiplou Ln, Scotch Plains, NJ 07076-2204 | 2006-10-25 |
| 1851487193 | Leonid Lev Topper | Psychiatry & Neurology | 34 Mountain Blvd Ste B, Warren, NJ 07059-2640 | 2006-10-05 |
| 1578663738 | Gabor Barabas | Psychiatry & Neurology | 24 Muncy Dr, West Long Branch, NJ 07764-1147 | 2006-09-25 |
| Find all providers with the same taxonomy | ||||
| City | MOORESTOWN |
| Zip Code | 08057 |
Please comment or provide details below to improve the information on COOPER PEDIATRIC SPECIALISTS.
| 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.