Individual provider Active NPI

Niti D Cooper, DO

  • Pain Medicine (Anesthesiology) Physician
  • Vineland, NJ
National Provider Identifier
1881859080
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MB08187500 Issued in NJ
Practice address
352 S Delsea Dr Ste C
Vineland, NJ 08360-5306
Phone
(856) 690-1616
Fax
(856) 896-6107
NPI assigned
Jul 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MB08187500 NJ
Pain Medicine (Anesthesiology) Physician 207LP2900X MB08187500 NJ Primary

Addresses

Primary practice location

352 S Delsea Dr Ste C
Vineland, NJ 08360-5306

Mailing address

352 S Delsea Dr Ste C
Vineland, NJ 08360-5306
Phone (856) 690-1616

Other practice location 1

15000 Midtlantic Drive
Suite 102
Mount Laurel, NJ 08054
Phone (865) 255-5479

Other identifiers 6

IdentifierTypeStateIssuer
1886108OtherNJAETNA
3530925000OtherNJAMERIHEALTH/KEYSTONE/PABS
0171646MedicaidNJ
60042790OtherNJHORIZON NJ HEALTH
01004660800OtherNJAMERICHOICE
60042789OtherNJHORIZON NJ HEALTH

Other names 1

  • Niti Dalal Former name

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
I20080924000196 NJ Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 3779650387 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Rowan University School of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shrewsbury Ambulatory Anesthesia LLCGroup PAC ID 4385899962, 141 clinicians
Methodist Associates in Healthcare of New Jersey, P.C.Group PAC ID 4981965324, 136 clinicians

Practice addresses (Care Compare)

1004 Haddonfield Rd
Cherry Hill, NJ 08002-2746
Phone (856) 690-1616

2201 Chapel Ave W
Cherry Hill, NJ 08002-2048
Phone (732) 264-1127

445 Hurffville Crosskeys Rd
Suite B16
Sewell, NJ 08080-2351
Phone (856) 256-7591

655 Shrewsbury Ave
Shrewsbury, NJ 07702-4179
Phone (732) 450-6000

Hospital & facility affiliations

  • Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086
  • Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Inspira Medical Center Vineland Hospital, Vineland, NJ, CCN 310032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB08187500NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic and Sports Medicine Assoc of Southern NJ LLC CurrentSince Sep 13, 2021 Accepting new patients
Shrewsbury Ambulatory Anesthesia LLC Anesthesiology CurrentSince May 29, 2025 Accepting new patients
Ra Pain Services PA Pain Medicine CurrentSince Jun 1, 2011 Accepting new patients
Methodist Associates in Healthcare of New Jersey, P.C. CurrentSince Dec 1, 2025 Accepting new patients
Methodist Associates in Healthcare of New Jersey, P.C. Anesthesiology CurrentSince Dec 1, 2025 Accepting new patients
Premier Orthopaedic and Sports Medicine Assoc of Southern NJ LLC CurrentSince Sep 13, 2021 Accepting new patients

Locations

2201 Chapel Ave W
Cherry Hill, NJ 08002
Phone (856) 488-6500

1004 Haddonfield Rd
Cherry Hill, NJ 08002
Phone (609) 662-7733

3140 Princeton Pike
Fl 2
Lawrenceville, NJ 08648
Phone (609) 895-1919

130 Gaither Dr
Ste 160
Mount Laurel, NJ 08054
Phone (609) 722-7000

15000 Midlantic Dr
Ste 102
Mount Laurel, NJ 08054
Phone (855) 727-2465

556 Egg Harbor Rd
Ste A
Sewell, NJ 08080
Phone (856) 286-2000

445 Hurffville Crosskeys Rd
Ste B16
Sewell, NJ 08080
Phone (856) 256-7591

655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000

298 S Delsea Dr
Vineland, NJ 08360
Phone (356) 690-1616

352 S Delsea Dr
Unit C
Vineland, NJ 08360
Phone 8566901616 ext. 6021

218 Sunset Rd
Willingboro, NJ 08046
Phone (609) 835-2900

Organizations & group practices 6

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 6

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": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1881859080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 S DELSEA DR STE C",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605306",
            "telephone_number": "856-690-1616",
            "fax_number": "856-896-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 S DELSEA DR STE C",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605306",
            "telephone_number": "856-690-1616",
            "fax_number": "856-896-6107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15000 Midtlantic Drive",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "08054",
            "country_code": "US",
            "telephone_number": "865-255-5479",
            "fax_number": "856-393-8691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "NITI",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "MB08187500",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "MB08187500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1886108",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/KEYSTONE/PABS",
            "identifier": "3530925000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0171646",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60042790",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "01004660800",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60042789",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NITI",
            "last_name": "DALAL",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.