Cooper Family Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COOPER FAMILY MEDICINE PC

Practice address

639 Cooper St
B-12
Camden, NJ 08102-1116

Phone

(856) 614-5603

Fax

(856) 614-5603

NPI assigned

Jun 7, 2007

Last updated

May 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert McMullen

Title

Evp Managed Care

Phone

(856) 342-2921

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1891998787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ",
            "address_2": "SUITE 502",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031438",
            "telephone_number": "856-342-2921",
            "fax_number": "856-968-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 COOPER ST",
            "address_2": "B-12",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081021116",
            "telephone_number": "856-614-5603",
            "fax_number": "856-614-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "MCMULLEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EVP MANAGED CARE",
        "authorized_official_telephone_number": "856-342-2921"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH GROUP #",
            "identifier": "2218882004",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6558101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cooper Anesthesia Associates, PC
• Cooper Bone and Joint Institute
• Cooper Bone and Joint Institute
• Cooper Care Alliance, PC
• Cooper Family Medicine
• Cooper Family Medicine PC
• Cooper GYN Oncology Association, PC
• Cooper Health System
• Cooper Health System
• Cooper Health System

• Family Medicine Physician in Camden, NJ
• Providers in Camden, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.