Individual provider Active NPI

Saifuddin T. Mama, MD

  • Obstetrics & Gynecology Physician
  • Marlton, NJ
National Provider Identifier
1811906878
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA0788960 Issued in NJ
Practice address
127 N Church Road
Suite 200 Cooper Faculty OBGYN
Marlton, NJ 08053
Phone
(856) 983-5691
Fax
(856) 983-5763
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD-060937-L PA
Obstetrics & Gynecology Physician 207V00000X MA0788960 NJ Primary
Pediatrics Physician 208000000X MA0788960 NJ

Addresses

Primary practice location

127 N Church Road
Suite 200 Cooper Faculty OBGYN
Marlton, NJ 08053

Mailing address

3 Cooper Plaza
Suite 502
Camden, NJ 08103
Phone (856) 968-7433

Other identifiers 2

IdentifierTypeStateIssuer
0118818MedicaidNJ
0016567740011MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070112000441 NJ Practitioner - Obstetrics/Gynecology 3274424916 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Jefferson Medical College of Thomas Jefferson University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Urogynecology Association PCGroup PAC ID 0749245116, 9 clinicians

Practice addresses (Care Compare)

6012 Main St
Voorhees, NJ 08043-4659
Phone (856) 325-6622

Hospital & facility affiliations

  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014

Merit-based Incentive Payment System (MIPS)

Final score
92.23 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
74.1

Merit-based Incentive Payment System (MIPS)

Final score
93.4 of 100Reported as group
Quality
97.94
Promoting interoperability
100
Improvement activities
40
Cost
77.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA0788960NJMDObstetrics & Gynecology Physician
MD-060937-LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Obstetrical Associates, PC Obstetrics & Gynecology CurrentSince Apr 1, 2007 Accepting new patients
University Urogynecology Association, PC Obstetrics & Gynecology CurrentSince Apr 8, 2019 Accepting new patients
Cooper Faculty OB-GYN, PC Obstetrics & Gynecology CurrentSince Aug 7, 2006 Accepting new patients

Locations

3 Cooper Plz
Rm 300
Camden, NJ 08103
Phone (856) 342-2186

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

3 Cooper Plz
Rm 502
Camden, NJ 08103
Phone (856) 342-2921

3 Cooper Plz
Rm 301
Camden, NJ 08103
Phone (856) 342-2959

1103 Kings Hwy N
Cherry Hill, NJ 08034
Phone (609) 321-1800

127 Church Rd
Ste 200
Marlton, NJ 08053
Phone (646) 245-8253

701 Route 73 N
Ste 7
Marlton, NJ 08053
Phone (856) 342-2959

701 Route 73 N
Marlton, NJ 08053
Phone (856) 396-8900

400 W Route 38
Fl 2
Moorestown, NJ 08057
Phone (856) 270-4002

6012 Main St
Voorhees, NJ 08043
Phone (856) 325-6622

Interoperability endpoints

  • Direct secure messaging: smama3996@direct.cooperhealth.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1811906878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COOPER PLAZA",
            "address_2": "SUITE 502",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08103",
            "telephone_number": "856-968-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N CHURCH ROAD",
            "address_2": "SUITE 200 COOPER FACULTY OBGYN",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-983-5691",
            "fax_number": "856-983-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMA",
        "first_name": "SAIFUDDIN",
        "middle_name": "T.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD-060937-L",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA0788960",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA0788960",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0118818",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016567740011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.