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COOPER PEDIATRICS NPI 1144268277


NPI Information

NPI: 1144268277
Provider Name: COOPER PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 31D2149275

Address:
3 COOPER PLZ
SUITE 200
CAMDEN, NJ
ZIP 08103
Phone: (856) 342-2001
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COOPER PEDIATRICS is a pediatrics in Camden, NJ. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. COOPER PEDIATRICS NPI is 1144268277. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3 COOPER PLZ
SUITE 200
CAMDEN, NJ
ZIP 08103-438
Phone: (856) 342-2001
Fax: (856) 968-8206

The provider's authorized official is Anthony J. Mazzarelli .
The authorized official title is Chief Medical Office and has the following contact phone number (856) 968-7858.

The CLIA number assigned to this NPI record is 31D2149275 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 7/28/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsNo
2208000000XPediatricsNEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1004934MEDICARE PINNEW JERSEY
23401901MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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