Active NPI
Edward Joseph Cooper, LMSW
- Social Worker
- Buffalo, NY
National Provider Identifier
1053473165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 073339
- Practice address
- Act Program
430 Niagara Street
Buffalo, NY 14201 - Phone
- (716) 856-2587
- Fax
- (716) 856-2608
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 073339 | NY | Primary |
Addresses
Primary practice location
Act Program
430 Niagara Street
Buffalo, NY 14201
Mailing address
Act Program
430 Niagara Street
Buffalo, NY 14201
Phone (716) 856-2587
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 073339 | Other | NY | LMSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 073339 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294185600000",
"number": "1053473165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ACT PROGRAM",
"address_2": "430 NIAGARA STREET",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14201",
"telephone_number": "716-856-2587",
"fax_number": "716-856-2608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ACT PROGRAM",
"address_2": "430 NIAGARA STREET",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14201",
"telephone_number": "716-856-2587",
"fax_number": "716-856-2608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "EDWARD",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2011-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "073339",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMSW",
"identifier": "073339",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.