Individual provider Active NPI

Jennifer Zahn Cooper, M.D.

  • MOHS-Micrographic Surgery Physician
  • Abingdon, MD
National Provider Identifier
1619918356
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
D63794 Issued in MD
Practice address
3445 Box Hill Corporate Center Dr Ste E
Abingdon, MD 21009-1223
Phone
(410) 569-5151
Fax
(410) 569-1131
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D63794 MD
MOHS-Micrographic Surgery Physician 207ND0101X D63794 MD Primary

Addresses

Primary practice location

3445 Box Hill Corporate Center Dr Ste E
Abingdon, MD 21009-1223

Mailing address

3445 Box Hill Corporate Center Dr Ste E
Abingdon, MD 21009-1223
Phone (410) 569-5151

Other identifiers 2

IdentifierTypeStateIssuer
64794901OtherMDCAREFIRST OF MD
S045-0029OtherDCBLUE SHIELD FEDERAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051026000747 MD Practitioner - Dermatology 0446277750 Reassigns benefits to 1 organization
I20190520000104 DE Practitioner - Dermatology 0446277750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delmarva Dermatology LLCGroup PAC ID 5991048795, 2 clinicians

Practice addresses (Care Compare)

10153 York Rd
Suite 104
Cockeysville, MD 21030-3398
Phone (410) 472-0901

96 Atlantic Ave
Suite 103
Ocean View, DE 19970-9103
Phone (302) 402-3015

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
78.47
Promoting interoperability
83
Improvement activities
40
Cost
82.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision181
Removal of skin lesions956
Removal of skin cancer805
Removal or shaving of skin growth1-10
Skin biopsy362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D63794MDMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Maryland PC Dermatology CurrentSince Nov 1, 2021 Accepting new patients
Advanced Dermatology of Maryland PC Dermatology Current Accepting new patients
Advanced Dermatology of Maryland PC Dermatology CurrentSince Nov 1, 2021 Accepting new patients
Delmarva Dermatology, LLC Dermatology CurrentSince May 1, 2019 Accepting new patients
Englert Dermatology, LLC Dermatology Past Accepting new patients

Locations

32895 Coastal Hwy
Unit 102A
Bethany Beach, DE 19930

32895 Coastal Hwy
#102A
Bethany Beach, DE 19930
Phone (302) 402-3015

96 Atlantic Ave
Ste 103
Ocean View, DE 19970
Phone (302) 402-3015

3445 Box Hill Corporate Center Dr
Ste E
Abingdon, MD 21009
Phone (410) 472-1006

10153 York Rd
Ste 104
Hunt Valley, MD 21030
Phone (410) 472-0901

101 Centennial St
Ste H
La Plata, MD 20646
Phone (301) 292-6010

7505 Osler Dr
Ste 308
Towson, MD 21204
Phone (410) 296-1464

Interoperability endpoints

  • Direct secure messaging: jennifer.cooper@adcs1.emadirect.md
  • Direct secure messaging: jcooper22631@beebehealth.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1619918356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 BOX HILL CORPORATE CENTER DR STE E",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091223",
            "telephone_number": "410-569-5151",
            "fax_number": "410-569-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 BOX HILL CORPORATE CENTER DR STE E",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091223",
            "telephone_number": "410-569-5151",
            "fax_number": "410-569-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JENNIFER",
        "middle_name": "ZAHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D63794",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MD",
            "license": "D63794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF MD",
            "identifier": "64794901",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD FEDERAL",
            "identifier": "S045-0029",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, MD

Sources for this page

Verify at the official NPI Registry.