NPIMap

Organization Active NPI

Cooper Physical Medicine & Rehabilitation Associates, PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Camden, NJ
National Provider Identifier
1508808221
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
COOPER PHYSICAL MEDICINE & REHABILITATION ASSOCIATES, PC
Practice address
1 Cooper PLZ
Camden, NJ 08103-1461
Phone
(856) 342-2040
Fax
(856) 968-8311
NPI assigned
Jun 11, 2006
Last updated
Jul 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Authorized official

Name
Anthony J. Mazzarelli, M.D.NPI 1033139407
Title
Chief Medical Office
Phone
(856) 968-7858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2081P2900X NJ Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

1 Cooper PLZ
Camden, NJ 08103-1461

Mailing address

1 Federal Street
SW-200
Camden, NJ 08103-1155
Phone (856) 356-4924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040412001131 NJ Part B Supplier - Clinic/Group Practice 4284628330 Receives reassigned benefits from 13 practitioners
Practice locations: Deptford, NJ; Camden, NJ; Elmer, NJ; Glassboro, NJ; Moorestown, NJ; Mullica Hill, NJ; Pennsville, NJ; Sewell, NJ…
O20220510002413 PA Part B Supplier - Clinic/Group Practice 4284628330 Receives reassigned benefits from 1 practitioner
Practice locations: Newtown Square, PA

National Provider Directory

National Provider Directory

Locations

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1 Cooper Plz
Ste 550
Camden, NJ 08103
Phone (856) 342-2040

1 Federal St
Fl 2
Camden, NJ 08103
Phone (856) 963-6770

3 Cooper Plz
Fl 1
Camden, NJ 08103
Phone (856) 795-9330

307 Stone Harbor Blvd
Ste 1
Cape May Court House, NJ 08210
Phone (609) 463-2948

307 Stone Harbor Blvd
Ste 101
Cape May Court House, NJ 08210
Phone (609) 463-2948

1101 Kings Hwy N
Cherry Hill, NJ 08034
Phone (609) 304-5513

2 Plaza Dr
Sewell, NJ 08080
Phone (856) 270-4040

218 Sunset Rd
Fl 3
Willingboro, NJ 08046

3740 West Chester Pike
Newtown Square, PA 19073
Phone (610) 355-7594

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1508808221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL STREET",
            "address_2": "SW-200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031155",
            "telephone_number": "856-356-4924",
            "fax_number": "856-382-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COOPER PLZ",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "856-342-2040",
            "fax_number": "856-968-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER PHYSICAL MEDICINE & REHABILITATION ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "MAZZARELLI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICE",
        "authorized_official_telephone_number": "856-968-7858",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.