NPIMap

Organization Active NPI

Cooper Nephrology, PC

  • Nephrology Physician
  • Camden, NJ
National Provider Identifier
1083747323
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
COOPER NEPHROLOGY, PC
Practice address
3 Cooper PLZ
University Renal Associates, Suite 215
Camden, NJ 08103-1438
Phone
(856) 757-7844
Fax
(856) 757-7778
NPI assigned
Mar 14, 2007
Last updated
Nov 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anthony J Mazzarelli, MD
Title
Sevp
Phone
(856) 968-7433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary

Addresses

Primary practice location

3 Cooper PLZ
University Renal Associates, Suite 215
Camden, NJ 08103-1438

Mailing address

3 Cooper PLZ
Suite 502
Camden, NJ 08103-1438
Phone (856) 342-2921

Other identifiers 1

IdentifierTypeStateIssuer
2233338000OtherNJNEPHROLOGY GRP#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050104000343 NJ Part B Supplier - Clinic/Group Practice 2163335878 Receives reassigned benefits from 452 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mount Laurel, NJ; Salem, NJ; Mullica Hill, NJ; Pennsville, NJ; Sewell, NJ; Swedesboro, NJ; Voorhees, NJ; West Deptford, NJ…
O20180221000257 NJ Part B Supplier - Clinic/Group Practice 4385905017 Receives reassigned benefits from 24 practitioners
Practice locations: Willingboro, NJ; West Deptford, NJ; Voorhees, NJ; Pennsauken, NJ; Cherry Hill, NJ; Mount Laurel, NJ; Moorestown, NJ; Deptford, NJ…

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

1030 Kings Hwy N
Ste 310
Cherry Hill, NJ 08034
Phone (856) 667-7266

3716 Church Rd
Mount Laurel, NJ 08054
Phone (856) 222-0386

5000 N Crescent Blvd
Ste 1A
Pennsauken, NJ 08109
Phone (856) 910-8798

7024 Route 38
Pennsauken, NJ 08109
Phone (856) 486-1145

651 John F Kennedy Way
Willingboro, NJ 08046
Phone (609) 835-2838

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1083747323",
    "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": "856-342-2921",
            "fax_number": "856-968-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ",
            "address_2": "UNIVERSITY RENAL ASSOCIATES, SUITE 215",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031438",
            "telephone_number": "856-757-7844",
            "fax_number": "856-757-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER NEPHROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "MAZZARELLI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SEVP",
        "authorized_official_telephone_number": "856-968-7433",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEPHROLOGY GRP#",
            "identifier": "2233338000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.