Cooper Family Medicine, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COOPER FAMILY MEDICINE, PC

Practice address

1050 Kings Hwy N
Suite 105
Cherry Hill, NJ 08034-1909

Phone

(856) 321-0303

Fax

(856) 321-0090

NPI assigned

Jun 1, 2006

Last updated

Jul 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anthony J. Mazzarelli, M.D.

Title

Chief Medical Office

Phone

(856) 968-7858

Specialties & licenses 2

Addresses

Other identifiers 17

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Cooper Family Medicine PC

  • Family Medicine Physician
  • Moorestown, NJ
  • NPI 1093929895

  4284530197

  Same PAC ID
• Cooper Family Medicine PC

  • Family Medicine Physician
  • Woodbury, NJ
  • NPI 1568665594

  4284530197

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Cooper Family Medicine

  • Family Medicine Physician
  • Haddon Heights, NJ
  • NPI 1952504425

  O20080417000457

  Same enrollment
• Cooper Family Medicine PC

  • Family Medicine Physician
  • Moorestown, NJ
  • NPI 1093929895

  O20051104000576

  Same enrollment

Locations

Practitioners 181

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.

• Rachel N Adams, NP

  • Family Nurse Practitioner
  • Camden, NJ
  • NPI 1164707642
  Medicare reassignment Care Compare group NPD
• Saaniya Contractor Ajmeri, MD

  • Internal Medicine Physician
  • Gloucester City, NJ
  • NPI 1528554342
  Medicare reassignment Care Compare group NPD
• James Q. Atkinson, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Medford, NJ
  • NPI 1881671444
  Medicare reassignment Care Compare group NPD
• Lori Ann Atkinson, M.D.

  • Family Medicine Physician
  • Sewell, NJ
  • NPI 1417375478
  Medicare reassignment Care Compare group NPD
• Greta Bires, MD

  • Family Medicine Physician
  • Moorestown, NJ
  • NPI 1164985040
  Medicare reassignment Care Compare group NPD
• Esther C Bliss, CRNP

  • Nurse Practitioner
  • Camden, NJ
  • NPI 1346756947
  Medicare reassignment Care Compare group NPD
• Athena Sinha Brotman, MD

  • Family Medicine Physician
  • Cherry Hill, NJ
  • NPI 1285012443
  Medicare reassignment Care Compare group NPD
• Ryan Brown

  • Internal Medicine Physician
  • Cherry Hill, NJ
  • NPI 1508508607
  Medicare reassignment Care Compare group NPD
• Lara A Bruneau, M.D.

  • Internal Medicine Physician
  • Mount Laurel, NJ
  • NPI 1669410445
  Medicare reassignment Care Compare group NPD
• Megan Carolyn Buentello, APN

  • Nurse Practitioner
  • Camden, NJ
  • NPI 1427414572
  Medicare reassignment Care Compare group NPD
• Stephanie Burns, DNP, APN, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Voorhees, NJ
  • NPI 1437520319
  Medicare reassignment Care Compare group NPD
• Rocco F Caveng Jr., D.O.

  • Family Medicine Physician
  • Willingboro, NJ
  • NPI 1780603381
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1649217175",
    "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": "1050 KINGS HWY N",
            "address_2": "SUITE 105",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341909",
            "telephone_number": "856-321-0303",
            "fax_number": "856-321-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "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": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6558101",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "812711",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "957013",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0341834001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "10825",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0538689001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0790979001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "10678",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0807068001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0125591001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0807062001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "10665",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2218882006",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "497006",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "511584",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0807066001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "10453",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandyn S Conyers
• Christine Coon, DPT
• Cooper Center for Healing and Recovery, LLC (The Recovery Village Cherry Hill at Cooper)
• Cooper Faculty OB-GYN, PC
• Cooper Family Medicine PC
• Cooper Medical Supply
• Cooper Physician Offices
• Cooper Physician Offices
• Cooper Surgical Associates
• Cooper Surgical Associates, PA

• Family Medicine Physician in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Family Medicine Physician in New Jersey

• 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.