Active NPI
Shirley Johnson Cooper, TEACHER
- Specialist
- Brooklyn, NY
National Provider Identifier
1669713533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 467557101
- Practice address
- 356 Miller Ave
Brooklyn, NY 11207-3602 - Phone
- (570) 335-2298
- NPI assigned
- Mar 2, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 467557101 | NY | Primary |
Addresses
Primary practice location
356 Miller Ave
Brooklyn, NY 11207-3602
Mailing address
356 Miller Ave
Brooklyn, NY 11207-3602
Phone (570) 335-2298
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 467557101 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362182400000",
"number": "1669713533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 MILLER AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112073602",
"telephone_number": "570-335-2298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "356 MILLER AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112073602",
"telephone_number": "570-335-2298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON COOPER",
"first_name": "SHIRLEY",
"credential": "TEACHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-02",
"last_updated": "2013-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "467557101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.