Active NPI
Susan L Cooley, M.D.
- Ophthalmology Physician
- Phillipsburg, NJ
National Provider Identifier
1457321705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25MA05122100
- Practice address
- 800 Coventry Drive
Phillipsburg, NJ 08865 - Phone
- (908) 859-6055
- Fax
- (908) 859-2042
- NPI assigned
- Jan 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 25MA05122100 | NJ | Primary |
| Ophthalmology Physician | 207W00000X | MD042086L | PA |
Addresses
Primary practice location
800 Coventry Drive
Phillipsburg, NJ 08865
Mailing address
800 Coventry Drive
Phillipsburg, NJ 08865
Phone (908) 859-6055
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QS020 | Other | NJ | OXFORD |
| 01000188700 | Other | NJ | AMERICHOICE |
| 2186802 | Medicaid | NJ | |
| 0114723000 | Other | NJ | AMERIHEALTH |
| 180018928 | Other | NJ | RAILROAD MEDICARE |
| 56F37 | Other | NJ | WELLCHOICE |
| 010051221NJ | Other | NJ | ANTHEM HEALTH |
| 1100428-003 | Other | NJ | CIGNA |
| 01496545 | Medicaid | PA | |
| 1054290 | Other | NJ | HORIZON NJ HEALTH |
| 38675 | Other | NJ | AETNA USHEALTHCARE GROUP |
| 1054291 | Other | NJ | AMERIHEALTH MERCY |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05122100 | NJ | MD | Ophthalmology Physician |
| MD042086L | PA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coventry Optical, P.C. | Past | Accepting new patients |
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.
-
- Ophthalmology Physician
- Phillipsburg, NJ
- NPI 1508598095
-
- Eyewear Supplier
- Phillipsburg, NJ
- NPI 1518169689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1457321705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 COVENTRY DRIVE",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "08865",
"telephone_number": "908-859-6055",
"fax_number": "908-859-2042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 COVENTRY DRIVE",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "08865",
"telephone_number": "908-859-6055",
"fax_number": "908-859-2042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOLEY",
"first_name": "SUSAN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NJ",
"license": "25MA05122100",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD042086L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "QS020",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "01000188700",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2186802",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0114723000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180018928",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCHOICE",
"identifier": "56F37",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM HEALTH",
"identifier": "010051221NJ",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1100428-003",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01496545",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "1054290",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHEALTHCARE GROUP",
"identifier": "38675",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY",
"identifier": "1054291",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phillipsburg, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.