Joel Cooperman, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MA28192 Issued in NJ

Practice address

19-04 Fair Lawn Ave
Fair Lawn, NJ 07410-2341

Phone

(201) 794-3132

Fax

(201) 794-6291

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Diagnostic Imaging Associates of North Jersey PA

  • Radiology Clinic/Center
  • Fair Lawn, NJ
  • NPI 1841381407
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1891883310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 VALE RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706160",
            "telephone_number": "973-839-0273",
            "fax_number": "973-839-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19-04 FAIR LAWN AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102341",
            "telephone_number": "201-794-3132",
            "fax_number": "201-794-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPERMAN",
        "first_name": "JOEL",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "MA28192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0869805",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Complete Care Physical Therapy
• Comprehensive Health Care of New Jersey,LLC
• Comprehensive Sleep Management, LLC
• Jeanine Conrad
• Theresa Cook
• Sabrina Lisa Coppola, LCSW
• Jessica Cordova
• Corera Labs Inc
• Corera Solution LLC
• James S Cornell, MD

• Diagnostic Radiology Physician in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Diagnostic Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.