Cooper Family Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COOPER FAMILY MEDICINE PC

Practice address

1050 Kings Hwy N
Suite 105
Cherry Hill, NJ 08034-1909

Phone

(856) 321-0303

Fax

(856) 321-0090

NPI assigned

Jun 11, 2007

Organization subpart

No

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

Phone

(856) 342-2921

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1285837724",
    "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": "856-342-2921",
            "fax_number": "856-968-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 KINGS HWY N",
            "address_2": "SUITE 105",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341909",
            "telephone_number": "856-321-0303",
            "fax_number": "856-321-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "MCMULLEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EVP MANAGED CARE",
        "authorized_official_telephone_number": "856-342-2921"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH GROUP #",
            "identifier": "0807062001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Conway, CRNP
• Brandyn S Conyers
• Christine Coon, DPT
• Cooper Center for Healing and Recovery, LLC
• Cooper Faculty OB-GYN, PC
• Cooper Family Medicine, PC
• Cooper Medical Supply
• Cooper Physician Offices
• Cooper Physician Offices
• Cooper Surgical Associates

• Family Medicine Physician in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.