Active NPI
Cooper Pediatrics
- Pediatrics Physician
- Sewell, NJ
National Provider Identifier
1265560460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- COOPER PEDIATRICS
- Practice address
- 4 Plaza Dr Ste 401
Bunker Hill Plaza
Sewell, NJ 08080-2747 - Phone
- (856) 270-4050
- NPI assigned
- Mar 1, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert McMullen
- Title
- Evp Managed Care Dept
- Phone
- (856) 342-3435
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
4 Plaza Dr Ste 401
Bunker Hill Plaza
Sewell, NJ 08080-2747
Mailing address
3 Cooper PLZ
Suite 502
Camden, NJ 08103-1438
Phone (856) 968-7433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3401901 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Cooper Pediatrics
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Salem, NJ
- NPI 1346378213
-
- Pediatrics Physician
- Voorhees, NJ
- NPI 1376671669
-
- Pediatrics Physician
- Sewell, NJ
- NPI 1639207509
Locations
110 Marter Ave
Ste 505
Moorestown, NJ 08057
Phone (856) 235-4840
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Camden, NJ
- NPI 1578060281
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1265560460",
"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": "856-968-7433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 PLAZA DR STE 401",
"address_2": "BUNKER HILL PLAZA",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080802747",
"telephone_number": "856-270-4050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COOPER PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCMULLEN",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "EVP MANAGED CARE DEPT",
"authorized_official_telephone_number": "856-342-3435"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3401901",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sewell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.