Provider Type Icon

COOPER FAMILY MEDICINE NPI 1952504425


NPI Information

NPI: 1952504425
Provider Name: COOPER FAMILY MEDICINE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 31D0117982

Address:
504 WHITE HORSE PIKE
HADDON HEIGHTS, NJ
ZIP 08035
Phone: (856) 546-7990
Get Directions

COOPER FAMILY MEDICINE is a family medicine in Haddon Heights, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COOPER FAMILY MEDICINE NPI is 1952504425. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

504 WHITE HORSE PIKE
HADDON HEIGHTS, NJ
ZIP 08035-709
Phone: (856) 546-7990
Fax: (856) 546-6686

The provider's authorized official is Robert Mcmullen .
The authorized official title is Evp Managed Care and has the following contact phone number (856) 342-2921.

The CLIA number assigned to this NPI record is 31D0117982 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2007 and was last updated on 5/13/2008.


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
1207Q00000XFamily MedicineYes

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
108070680001OTHERNEW JERSEYSUBPART GRP#
2838628 DK6MEDICARE PINNEW 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: 11/14/2023

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.