Active NPI
Heidi Beth Cooperstein, D.O.
- Child & Adolescent Psychiatry Physician
- Moorestown, NJ
National Provider Identifier
1104041722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MB-59709
- Practice address
- 128 Bortons Landing Rd
Suite 2
Moorestown, NJ 08057-3011 - Phone
- (856) 231-0690
- Fax
- (856) 231-1228
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MB-59709 | NJ | Primary |
Addresses
Primary practice location
128 Bortons Landing Rd
Suite 2
Moorestown, NJ 08057-3011
Mailing address
128 Bortons Landing Rd
Suite 2
Moorestown, NJ 08057-3011
Phone (856) 231-0690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 729606 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2016 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB-59709 | NJ | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven Horvitz, D.O., Family Medicine, P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Moorestown, NJ
- NPI 1689933350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293408000000",
"number": "1104041722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 BORTONS LANDING RD",
"address_2": "SUITE 2",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573011",
"telephone_number": "856-231-0690",
"fax_number": "856-231-1228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 BORTONS LANDING RD",
"address_2": "SUITE 2",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573011",
"telephone_number": "856-231-0690",
"fax_number": "856-231-1228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPERSTEIN",
"first_name": "HEIDI",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2010-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NJ",
"license": "MB-59709",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "729606",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moorestown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.