Mary Reich Cooper, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

60-197374 Issued in NY

Practice address

9 Waccabuc River LN
South Salem, NY 10590-1117

Phone

(914) 763-2145

Fax

(914) 470-2570

NPI assigned

Jun 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790988335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WACCABUC RIVER LN",
            "city": "SOUTH SALEM",
            "state": "NY",
            "postal_code": "105901117",
            "telephone_number": "914-763-2145",
            "fax_number": "914-470-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WACCABUC RIVER LN",
            "city": "SOUTH SALEM",
            "state": "NY",
            "postal_code": "105901117",
            "telephone_number": "914-763-2145",
            "fax_number": "914-470-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MARY",
        "middle_name": "REICH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "60-197374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Ann Card, PH.D.
• Tracey Lyn Carriera, OTR/L
• Camille Guarino Ciacci, MS
• Nancy Ciancaglini, M.S., CCC-SLP
• Mary-Katherine Ellin Cooke, MA CF-SLP
• Mary Alice Cugno
• D and B Pharmacy Corporation (Paul's Pharmacy)
• Elizabeth Daley
• Darar RX Group Corp.
• Joseph A Delapa, DDS

• Internal Medicine Physician in South Salem, NY
• Providers in South Salem, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.