Active NPI
David Cooper, SC.D., CCC-A, FAAA
- Audiologist
- Morganville, NJ
National Provider Identifier
1396022745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 41YA00081200
- Practice address
- 509 Apache TRL
Morganville, NJ 07751-4632 - Phone
- (908) 461-7085
- Fax
- (732) 817-1834
- NPI assigned
- Nov 14, 2011
- Last updated
- Jun 24, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 41YA00081200 | NJ | Primary |
Addresses
Primary practice location
509 Apache TRL
Morganville, NJ 07751-4632
Mailing address
509 Apache TRL
Morganville, NJ 07751-4632
Phone (908) 461-7085
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25MG00126300 | Other | NJ | HEARING AID DISPENSER |
| 41YA00081200 | Other | NJ | AUDIOLOGY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hearing and Speech Clinic/Center
- Morganville, NJ
- NPI 1902176670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372032000000",
"number": "1396022745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 APACHE TRL",
"city": "MORGANVILLE",
"state": "NJ",
"postal_code": "077514632",
"telephone_number": "908-461-7085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 APACHE TRL",
"city": "MORGANVILLE",
"state": "NJ",
"postal_code": "077514632",
"telephone_number": "908-461-7085",
"fax_number": "732-817-1834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "SC.D., CCC-A, FAAA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-14",
"last_updated": "2013-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NJ",
"license": "41YA00081200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEARING AID DISPENSER",
"identifier": "25MG00126300",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUDIOLOGY LICENSE",
"identifier": "41YA00081200",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morganville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.