Active NPI
Cooper Family Medicine PC
- Family Medicine Physician
- Camden, NJ
National Provider Identifier
1912354580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- COOPER FAMILY MEDICINE PC
- Practice address
- 3 Cooper PLZ
104
Camden, NJ 08103-1438 - Phone
- (856) 342-2445
- Fax
- (856) 964-0504
- NPI assigned
- May 24, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Mazzarelli, M.D.
- Title
- Cmo
- Phone
- (856) 968-7858
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NJ | Primary |
Addresses
Primary practice location
3 Cooper PLZ
104
Camden, NJ 08103-1438
Mailing address
1 Federal St
Suite Sw200
Camden, NJ 08103-1088
Phone (856) 356-4920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649217175 | Other | NJ | NPI GROUP# |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464048000000",
"number": "1912354580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST",
"address_2": "SUITE SW200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031088",
"telephone_number": "856-356-4920",
"fax_number": "856-382-6455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 COOPER PLZ",
"address_2": "104",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031438",
"telephone_number": "856-342-2445",
"fax_number": "856-964-0504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COOPER FAMILY MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-24",
"last_updated": "2016-05-24",
"status": "A",
"authorized_official_last_name": "MAZZARELLI",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "CMO",
"authorized_official_telephone_number": "856-968-7858",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI GROUP#",
"identifier": "1649217175",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.