Organization Active NPI

Cooper Perinatology Associates, PC

  • Maternal & Fetal Medicine Physician
  • Camden, NJ
National Provider Identifier
1184644973
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
COOPER PERINATOLOGY ASSOCIATES, PC
Practice address
1 Cooper PLZ
Dorrance BLDG, 6TH Floor
Camden, NJ 08103-1461
Phone
(856) 342-2491
Fax
(856) 342-7023
NPI assigned
Jul 21, 2006
Last updated
Jul 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name
Anthony J. Mazzarelli, M.D.NPI 1033139407
Title
Chief Medical Office
Phone
(856) 968-7858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X NU
Maternal & Fetal Medicine Physician 207VM0101X NJ Primary

Addresses

Primary practice location

1 Cooper PLZ
Dorrance BLDG, 6TH Floor
Camden, NJ 08103-1461

Mailing address

1 Federal Street
SW-200
Camden, NJ 08103-1155
Phone (856) 356-4924

Other identifiers 1

IdentifierTypeStateIssuer
3400905MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080213000163 NJ Part B Supplier - Clinic/Group Practice 8628975695 Receives reassigned benefits from 9 practitioners
Practice locations: Galloway, NJ; Willingboro, NJ; Voorhees, NJ; Sewell, NJ; Princeton, NJ; Marlton, NJ; Hamilton, NJ; Egg Harbor Township, NJ…

National Provider Directory

National Provider Directory

Locations

1900 Burlington Mount Holly Rd
Ste 1C
Burlington, NJ 08016
Phone (609) 835-5570

1 Cooper Plz
Bldg 6TH
Camden, NJ 08103
Phone (856) 342-2491

1 Cooper Plz
Fl 6
Camden, NJ 08103
Phone (856) 342-2065

1 Cooper Plz
Ste 222
Camden, NJ 08103
Phone (856) 342-3150

333 E Jimmie Leeds Rd
Ste 6
Galloway, NJ 08205
Phone (609) 652-6200

1230 Whitehorse Mercerville Rd
#B
Hamilton, NJ 08619
Phone (609) 581-5681

10 Forrestal Rd S
Ste 208
Princeton, NJ 08540
Phone (609) 921-2449

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

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1184644973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL STREET",
            "address_2": "SW-200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031155",
            "telephone_number": "856-356-4924",
            "fax_number": "856-382-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COOPER PLZ",
            "address_2": "DORRANCE BLDG, 6TH FLOOR",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "856-342-2491",
            "fax_number": "856-342-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER PERINATOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "MAZZARELLI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICE",
        "authorized_official_telephone_number": "856-968-7858",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400905",
            "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 Jul 28, 2016; 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.