NPIMap

Organization Active NPI

The Cooper Health System

Doing business as Cooper University Hospital

  • Land Ambulance
  • Camden, NJ
National Provider Identifier
1174976724
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
101763 Issued in NJ
Legal business name
THE COOPER HEALTH SYSTEM
Doing business as
Cooper University Hospital
Practice address
1000 S 10TH St
Camden, NJ 08103-2601
Phone
(856) 757-4800
Fax
(856) 968-8215
NPI assigned
Jul 19, 2016
Last updated
Jul 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Mr. Douglas E Shirley
Title
Sr Executive Vice President & Cfo
Phone
(856) 342-2443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 101763 NJ Primary

Addresses

Primary practice location

1000 S 10TH St
Camden, NJ 08103-2601

Mailing address

1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-2000

Other identifiers 1

IdentifierTypeStateIssuer
4136004MedicaidNJ

Other names 1

  • Cooper University Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080408000833 NJ Part A Provider - Hospital 2466369434 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Millville, NJ; Willingboro, NJ; Voorhees, NJ; Pennsauken, NJ; Mt. Laurel, NJ; Moorestown, NJ; Medford, NJ; Cherry Hill, NJ…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174976724. Details of each certification follow.

Hospital certification: CCN 310014

Legal name
THE COOPER HEALTH SYSTEM
Doing business as
COOPER UNIVERSITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 19, 2024
Beds
663
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 24, 1875 in NJ
Enrollment address
1 Cooper PLZ
Camden, NJ 81031461
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Psychiatric unit, Rehabilitation unit

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Cooper University HospitalCCN 310014 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Academic Emergency Heal11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 Federal St
Ste NW400A
Camden, NJ 08103

Ownership & related parties

All disclosed owners & managing parties 25

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sean P Murphy Individual Corporate Director May 24, 2022
Richard T Smith Individual Corporate Director Oct 1, 2025
George Norcross Individual Corporate Officer Mar 1, 1990
Corporate Director Mar 1, 1990
Cheryl Norton Individual Corporate DirectorBoard Or Director Jun 1, 2019
Charles W Foulke Individual Corporate Director Oct 25, 2022
Stephen Sweeney Individual Corporate Director Oct 1, 2025
Sidney R Brown Individual Corporate Director Jan 1, 2015
Michael Howard Goodman Individual Corporate DirectorMD Mar 28, 2023
Kevin M O'Dowd Individual Corporate OfficerCo-Ceo Jun 1, 2019
William Wenzel Individual Corporate Director Oct 1, 2025
Roland Schwarting Individual Corporate Director Sep 1, 2011
Steven E Ross Individual Corporate Director Jan 1, 2015
Leon D. Dembo Individual Corporate Director May 1, 2007
Faustino Fernandez-Vina Individual Corporate Director May 24, 2022
Anthony J Mazzarelli Individual Corporate OfficerCo-Ceo Jun 1, 2019
Philip a. Norcross, Esq Individual Corporate Director Jan 1, 2015
Eli Winkler Individual Corporate Director Oct 1, 2025
Peter S Amenta Individual Corporate Director May 1, 2006
Brian M Reilly Individual Corporate OfficerInterim Chief Financial Officer Oct 12, 2017
Annette C Reboli Individual Corporate Director Apr 1, 2011
Generosa Grana Individual Corporate Director Sep 1, 2011
Peter Driscoll, Esq Individual Corporate Director Jan 1, 1985
Michael E Chansky Individual Corporate Director Sep 1, 2011
Ronald Jaworski Individual Corporate Director Oct 1, 2025
Abe S Feld Individual W-2 Managing Employee Jun 29, 2010

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 2,008

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 2,008

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1174976724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COOPER PLZ",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "856-342-2000",
            "fax_number": "856-382-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S 10TH ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081032601",
            "telephone_number": "856-757-4800",
            "fax_number": "856-968-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COOPER HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "SHIRLEY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SR EXECUTIVE VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "856-342-2443",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "101763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4136004",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cooper University Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.