Carol Anekstein Cooper, M.D.

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

25MA047054 Issued in NJ

Practice address

111 Northfield Ave Ste 311
West Orange, NJ 07052-4703

Phone

(973) 535-8408

Fax

(973) 535-8414

NPI assigned

Dec 20, 2006

Last updated

Jun 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Carol Beth Anekstein Professional name

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 3 Dimension Diagnostic Solutions

  • Diagnostic Radiology Physician
  • Jersey City, NJ
  • NPI 1760704688
  NPD (past)
• The Nephrology Group PA

  • Nephrology Physician
  • West Orange, NJ
  • NPI 1518934207
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1427112945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 HIGHLAND RD",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791515",
            "telephone_number": "973-535-8408",
            "fax_number": "973-535-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NORTHFIELD AVE STE 311",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524703",
            "telephone_number": "973-535-8408",
            "fax_number": "973-535-8414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "070395011",
            "country_code": "US",
            "telephone_number": "973-535-8408",
            "fax_number": "973-535-8414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CAROL",
        "middle_name": "ANEKSTEIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA047054",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NJ",
            "license": "25MA047054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0693006",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "ANEKSTEIN",
            "middle_name": "BETH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alyssa Leigh Connors
• Consolidated Diagnostic and Imaging PC
• Consultants in Cardiology
• Shamiere Dashaun Contant
• Contemporary Women's Care. PC
• Rachel Lindsay Cooper, PA-C
• Sanford Cooper, MD
• Savannah Coppola
• Core Wellness
• Tara Corigliano, BCBA, LABA

• Geriatric Psychiatry Physician in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Geriatric Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.

Verify at the official NPI Registry.