Roger Cooper, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA35197 Issued in NJ

Practice address

268 Martin Luther King Jr Blvd
St Michael Infectious Disease
Newark, NJ 07102-2011

Phone

(973) 877-2586

Fax

(973) 877-2661

NPI assigned

Mar 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Avenue Professional Services, PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Newark, NJ
  • NPI 1447649694
  NPD (past)
• Saint Michaels Physician Services PC

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1063791820
  NPD (past)
• St Michael Infectious Disease Associates

  • Infectious Disease Physician
  • Newark, NJ
  • NPI 1811942766
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306807938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "address_2": "ST MICHAEL INFECTIOUS DISEASE",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070680036",
            "telephone_number": "973-877-2586",
            "fax_number": "973-877-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 MARTIN LUTHER KING JR BLVD",
            "address_2": "ST MICHAEL INFECTIOUS DISEASE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022011",
            "telephone_number": "973-877-2586",
            "fax_number": "973-877-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA35197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2048604",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stuart Donald Cook, M.D.
• Tiffany Cook, LCSW
• Rebecca Coons, APRN
• Alexandria M Cooper, MD
• Pierce Cooper, MD
• Ebony Copeland
• Beth Faye Coplan, RD
• Nicole Coppin
• Danielle Marie Coppola, ATC
• Mario Jose Cordero-Pangrazio, DMD

• Specialist in Newark, NJ
• Providers in Newark, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.