Cooper Surgical Associates, PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

COOPER SURGICAL ASSOCIATES, PA

Practice address

3 Cooper PLZ
Suite 411
Camden, NJ 08103-1438

Phone

(856) 342-3321

Fax

(856) 968-8611

NPI assigned

Jun 1, 2006

Last updated

Sep 10, 2024By 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. Mazzerelli, M.D.

Title

Chief Medical Office

Phone

(856) 968-7858

Specialties & licenses 10

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Cooper Surgical Associates, PA

  • Orthopaedic Surgery Physician
  • Voorhees, NJ
  • NPI 1427177195

  O20031213000037

  Same enrollment
• Cooper Surgical Associates, PA

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Sewell, NJ
  • NPI 1841318813

  O20031213000037

  Same enrollment

Locations (25 of 49)

Practitioners 400

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.

• Brittani Abele, APN

  • Acute Care Nurse Practitioner
  • Camden, NJ
  • NPI 1669029856
  NPD
• Alan James Abraham, PA

  • Physician Assistant
  • Camden, NJ
  • NPI 1578152120
  NPD
• Nidhi Agrawal, MD

  • Family Medicine Physician
  • Thorofare, NJ
  • NPI 1245246982
  NPD
• Nadir Ahmad, M.D.

  • Otolaryngology Physician
  • Camden, NJ
  • NPI 1396969549
  NPD
• Brandi Aldridge, PA-C

  • Physician Assistant
  • Cherry Hill, NJ
  • NPI 1124734991
  NPD
• Megan Andrade, PT, DPT

  • Physical Therapist
  • Glassboro, NJ
  • NPI 1336515360
  NPD
• Lorraine M Antico, APN C

  • Nurse Practitioner
  • Camden, NJ
  • NPI 1629161427
  NPD
• Timothy D Averch, MD

  • Urology Physician
  • Camden, NJ
  • NPI 1578535977
  NPD
• John Aversa, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Camden, NJ
  • NPI 1043666985
  NPD
• Katelyn Marie Backus

  • Nurse Practitioner
  • Voorhees, NJ
  • NPI 1356028278
  NPD
• Yury Bak, D.O.

  • Vascular Surgery Physician
  • Cherry Hill, NJ
  • NPI 1285834655
  NPD
• Ahmad Ballout, MD

  • Neurological Surgery Physician
  • Camden, NJ
  • NPI 1225525389
  NPD

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1649217514",
    "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": "3 COOPER PLZ",
            "address_2": "SUITE 411",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031438",
            "telephone_number": "856-342-3321",
            "fax_number": "856-968-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER SURGICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "MAZZERELLI",
        "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": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3285316",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH GROUP NUMBER",
            "identifier": "0081095000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00787539",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2865807",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7161701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cooper Surgical Associates, PA
• Cooper Surgical Associates, PA
• Cooper Surgical Associates, PA
• Cooper Surgical Associates, PA
• Cooper Surgical Associates, PA
• Cooper Surgical Associates, PA
• Cooper Surgical Associates, PA
• Cooper Surgical Associates,PA
• Cooper Univeristy Emergency Physicians, PC
• Cooper University Dental Health P.C.

• Surgery Physician in Camden, NJ
• Providers in Camden, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.