NPIMap

Organization Active NPI

Cooper House Women's Recovery Program

  • General Acute Care Hospital
  • Pennsauken, NJ
National Provider Identifier
1669665865
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
10402 Issued in NJ
Legal business name
COOPER HOUSE WOMEN'S RECOVERY PROGRAM
Practice address
7250 Westfield Ave
Suite J
Pennsauken, NJ 08110-4093
Phone
(856) 662-0221
Fax
(856) 662-2776
NPI assigned
Aug 21, 2007
Last updated
Aug 21, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
THE COOPER HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Authorized official

Name
Mr. Norris Preston, MHS, MSW
Title
Program Director
Phone
(856) 662-1158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 10402 NJ Primary

Addresses

Primary practice location

7250 Westfield Ave
Suite J
Pennsauken, NJ 08110-4093

Mailing address

7250 Westfield Ave
Suite J
Pennsauken, NJ 08110-4093
Phone (856) 662-0221

Other identifiers 1

IdentifierTypeStateIssuer
7705701MedicaidNJ

Other names 1

  • The Cooper Health System Other name

National Provider Directory

National Provider Directory
Tax ID family
Cooper Surgery Center11 organizations share this tax ID, including this one
Part of
Cooper Surgery Center

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1669665865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 WESTFIELD AVE",
            "address_2": "SUITE J",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081104093",
            "telephone_number": "856-662-0221",
            "fax_number": "856-662-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 WESTFIELD AVE",
            "address_2": "SUITE J",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081104093",
            "telephone_number": "856-662-0221",
            "fax_number": "856-662-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER HOUSE WOMEN'S RECOVERY PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE COOPER HEALTH SYSTEM",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "NORRIS",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "856-662-1158",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHS, MSW"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": "10402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7705701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Cooper Health System",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pennsauken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.