NPIMap

Organization Active NPI

The Cooper Health System

Doing business as Cooper University Hospital

  • Air Ambulance
  • Millville, NJ
National Provider Identifier
1225481385
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
101763 Issued in NJ
Legal business name
THE COOPER HEALTH SYSTEM
Doing business as
Cooper University Hospital
Practice address
97 Bogden Blvd
Millville, NJ 08332-4814
Phone
(856) 765-5584
Fax
(856) 765-5580
NPI assigned
Jul 13, 2016
Last updated
Jul 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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
Air Ambulance 3416A0800X 101763 NJ Primary

Addresses

Primary practice location

97 Bogden Blvd
Millville, NJ 08332-4814

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1225481385",
    "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": "97 BOGDEN BLVD",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083324814",
            "telephone_number": "856-765-5584",
            "fax_number": "856-765-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COOPER HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "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": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air 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 Millville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.