Active NPI
Sanford Cooper, MD
- Nephrology Physician
- West Orange, NJ
National Provider Identifier
1326013202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 25MA04597300
- Practice address
- 111 Northfield Ave
Ste 311
West Orange, NJ 07052-4703 - Phone
- (973) 325-2103
- Fax
- (973) 325-2254
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 25MA04597300 | NJ | Primary |
Addresses
Primary practice location
111 Northfield Ave
Ste 311
West Orange, NJ 07052-4703
Mailing address
111 Northfield Ave
Ste 311
West Orange, NJ 07052-4703
Phone (973) 325-2103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0419800 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Hospital Opco LLC | Current | Accepting new patients | |
| 3 Dimension Diagnostic Solutions | Past | Accepting new patients |
Interoperability endpoints
- sanford.cooper@direct.christhospital.md
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1871859306
-
- Diagnostic Radiology Physician
- Jersey City, NJ
- NPI 1760704688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331078400000",
"number": "1326013202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 NORTHFIELD AVE",
"address_2": "STE 311",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070524703",
"telephone_number": "973-325-2103",
"fax_number": "973-325-2254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 NORTHFIELD AVE",
"address_2": "STE 311",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070524703",
"telephone_number": "973-325-2103",
"fax_number": "973-325-2254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "SANFORD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2012-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NJ",
"license": "25MA04597300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0419800",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.