Active NPI
Cooper Medical Supply
- Durable Medical Equipment & Medical Supplies
- Cherry Hill, NJ
National Provider Identifier
1043361173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- COOPER MEDICAL SUPPLY
- Practice address
- 401 South Kings Highway, Suite 3a
Tara Professional Park
Cherry Hill, NJ 08033 - Phone
- (856) 968-7318
- NPI assigned
- Jan 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert McMullen
- Title
- Evp Managed Cared
- Phone
- (856) 968-7263
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
401 South Kings Highway, Suite 3a
Tara Professional Park
Cherry Hill, NJ 08033
Mailing address
3 Cooper PLZ
Suite 502
Camden, NJ 08103-1438
Phone (856) 968-7433
Other names 1
- Cooper Bone & Joint Institute
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Camden, NJ
- NPI 1164427241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203552000000",
"number": "1043361173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 COOPER PLZ",
"address_2": "SUITE 502",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031438",
"telephone_number": "856-968-7433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 SOUTH KINGS HIGHWAY, SUITE 3A",
"address_2": "TARA PROFESSIONAL PARK",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "08033",
"telephone_number": "856-968-7318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COOPER MEDICAL SUPPLY",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2008-02-21",
"status": "A",
"authorized_official_last_name": "MCMULLEN",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "EVP MANAGED CARED",
"authorized_official_telephone_number": "856-968-7263"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cooper Bone & Joint Institute",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.