Provider Type Icon

COOPER URGENT CARE PC NPI 1205197365


NPI Information

NPI: 1205197365
Provider Name: COOPER URGENT CARE, PC
Classification: Emergency Medicine - 207PE0004X
Entity Type: Organization

Specialization: Emergency Medical Services

CLIA Number: 31D2046547

Address:
2001 ROUTE 70 E
CHERRY HILL, NJ
ZIP 08003
Phone: (856) 874-0134
Get Directions

COOPER URGENT CARE, PC is an emergency medical services emergency medicine in Cherry Hill, NJ. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. COOPER URGENT CARE, PC NPI is 1205197365. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2001 ROUTE 70 E
CHERRY HILL, NJ
ZIP 08003-200
Phone: (856) 874-0134
Fax: (856) 874-0136

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 31D2046547 - other - urgent care with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/6/2012 and was last updated on 7/27/2016.


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
1207PE0004XEmergency MedicineEmergency Medical ServicesNEW 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
1259067MEDICARE PINNEW JERSEY
20309711MEDICAIDNEW 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.