COOPER PEDIATRIC SPECIALIST NPI 1770616153

NPI Information

  • NPI: 1770616153
  • Provider Name: COOPER PEDIATRIC SPECIALIST
  • Classification: Pediatrics - 2080P0214X
  • Specialization: Pediatric Pulmonology
  • Entity Type: Organization
  • Address: 3 COOPER PLZ
    SUITE 200
    CAMDEN, NJ
    ZIP 08103
  • Phone: (856) 342-2000

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NPI Details

COOPER PEDIATRIC SPECIALIST is a pediatric pulmonology pediatrics in Camden, NJ. The provider is a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. COOPER PEDIATRIC SPECIALIST NPI is 1770616153. 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) 342-2000

The provider's authorized official is Robert Mcmullen .
The authorized official title is Evp Managed Care and has the following contact phone number (856) 342-7263.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0214XPediatricsPediatric PulmonologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12125254000OTHERAMERIHEALTH GRP NUMBER
29024603MEDICAIDNEW 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: 11/21/2025

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