Madison Paige Cooper, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

31 E Darrah LN
Lawrence Township, NJ 08648-3763

Phone

(609) 587-9944

NPI assigned

May 16, 2022

Last updated

Sep 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeast Institute for Age Management

  dba Rejuvenesssence Age Management

  • Plastic Surgery Physician
  • Linwood, NJ
  • NPI 1801566336
  NPD

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1962149492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 E DARRAH LN",
            "city": "LAWRENCE TOWNSHIP",
            "state": "NJ",
            "postal_code": "086483763",
            "telephone_number": "609-587-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 E DARRAH LN",
            "city": "LAWRENCE TOWNSHIP",
            "state": "NJ",
            "postal_code": "086483763",
            "telephone_number": "609-587-9944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 New Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Linwood",
            "state": "NJ",
            "postal_code": "082211200",
            "country_code": "US",
            "telephone_number": "609-232-7037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MADISON",
        "middle_name": "PAIGE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camrae Home Care LLC (Executive Care)
• Clover Meadows Healthcare and Rehabilitation Center LLC
• Cassandra Cocchiara
• Community Options Enterprises, Inc
• Complete Eye Care LLC
• Costco Wholesale Corporation (Costco Hearing Aid #1199)
• Costco Wholesale Corporation (Costco Optical #1199)
• Costco Wholesale Corporation
• Megan Lee Dawlabani, BCBA
• Samuel Eisenberg, PHARM.D.

• Physician Assistant in Lawrence Township, NJ
• Providers in Lawrence Township, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.