Active NPI
Niti D Cooper, DO
- Pain Medicine (Anesthesiology) Physician
- Vineland, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- MB08187500
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1886108 | Other | NJ | AETNA |
| 3530925000 | Other | NJ | AMERIHEALTH/KEYSTONE/PABS |
| 0171646 | Medicaid | NJ | |
| 60042790 | Other | NJ | HORIZON NJ HEALTH |
| 01004660800 | Other | NJ | AMERICHOICE |
| 60042789 | Other | NJ | HORIZON NJ HEALTH |
Other names 1
- Niti Dalal
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
Enrollment records 1
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
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
- Inspira Medical Center Mullica Hill
- West Jersey Hospital
- Inspira Medical Center Vineland
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB08187500 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Orthopaedic and Sports Medicine Assoc of Southern NJ LLC | Current | Accepting new patients | |
| Shrewsbury Ambulatory Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Ra Pain Services PA | Pain Medicine | Current | Accepting new patients |
| Methodist Associates in Healthcare of New Jersey, P.C. | Current | Accepting new patients | |
| Methodist Associates in Healthcare of New Jersey, P.C. | Anesthesiology | Current | Accepting new patients |
| Premier Orthopaedic and Sports Medicine Assoc of Southern NJ LLC | Current | 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.
-
- Cardiovascular Disease Physician
- Robbinsville, NJ
- NPI 1649636754
Anesthesiology
-
- Orthopaedic Surgery Physician
- Vineland, NJ
- NPI 1396812574
-
- Anesthesiology Physician
- Shrewsbury, NJ
- NPI 1356691885
-
- Neurological Surgery Physician
- Sewell, NJ
- NPI 1568078095
-
- Orthopaedic Surgery Physician
- Mullica Hill, NJ
- NPI 1457092611
-
- Interventional Pain Medicine Physician
- Sewell, NJ
- NPI 1396802658
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vineland, NJ
- NPI 1164487542
-
- General Acute Care Hospital
- Elmer, NJ
- NPI 1255396024
-
- General Acute Care Hospital
- Mullica Hill, NJ
- NPI 1366097032
-
- General Acute Care Hospital
- Stratford, NJ
- NPI 1386746592
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.