Active NPI
Mark S. Nemiroff, MD
- Anesthesiology Physician
- Camden, NJ
National Provider Identifier
1659377349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MA03319600
- Practice address
- One Cooper Plaza
Cooper Anesthesia Associates
Camden, NJ 08103 - Phone
- (856) 342-2425
- Fax
- (856) 968-8239
- NPI assigned
- Jun 27, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD-036712-L | PA | |
| Anesthesiology Physician | 207L00000X | MA03319600 | NJ | Primary |
Addresses
Primary practice location
One Cooper Plaza
Cooper Anesthesia Associates
Camden, NJ 08103
Mailing address
1 Federal St
Ste Sw200
Camden, NJ 08103-1155
Phone (856) 968-7433
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0083506000 | Other | NJ | AMERIHEALTH/KEYSTONE/IBC |
| 010046593 | Other | NJ | AMERIHCOICE |
| 2423652 | Other | NJ | UNITED HEALTHCARE |
| 2048400 | Medicaid | NJ | |
| 1867334/4201149 | Other | NJ | AETNA |
| 60040928 | Other | NJ | HORIZON NJ HEALTH |
| 60040929 | Other | NJ | HORIZON NJ HEALTH |
| 00781956 | Medicaid | PA | |
| 6184259 | Other | NJ | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA03319600 | NJ | MD | Anesthesiology Physician |
| MD-036712-L | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lower Bucks Pain Management, P. C. | Anesthesiology | Past | Accepting new patients |
| Liberty Anesthesia Associates, 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.
-
- Specialist
- Coatesville, PA
- NPI 1972509792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461542400000",
"number": "1659377349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST",
"address_2": "STE SW200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031155",
"telephone_number": "856-968-7433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE COOPER PLAZA",
"address_2": "COOPER ANESTHESIA ASSOCIATES",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "08103",
"telephone_number": "856-342-2425",
"fax_number": "856-968-8239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMIROFF",
"first_name": "MARK",
"middle_name": "S.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2016-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD-036712-L",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "MA03319600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH/KEYSTONE/IBC",
"identifier": "0083506000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHCOICE",
"identifier": "010046593",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2423652",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2048400",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1867334/4201149",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "60040928",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "60040929",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00781956",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6184259",
"state": "NJ"
}
],
"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 Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.