DR. COREY MICHAEL MOSSOP (NPI# 1073761375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073761375 |
| Entity Type | Individual |
| Full Name | DR. COREY MICHAEL MOSSOP |
| Practice Address |
3 Cooper Plz Rm 104 Camden NJ 08103-1407 |
| Mailing Address |
1 Federal St # 200 Camden NJ 08103-1088 |
| Practice Telephone | 8569861273 |
| Mailing Telephone | 8563564924 |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2019-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 25MA10631800 | NJ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8019 Eastern Ave, Apt 306, Silver Spring, MD 209103110 | 8569861273 |
| Street Address |
3 COOPER PLZ RM 104 |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891768404 | Tudor G Jovin | Specialist | 3 Cooper Plz Rm 104, Camden, NJ 08103-1407 | 2006-02-13 |
| 1174016299 | Jessica Leigh Sweeney | Physician Assistant | 3 Cooper Plz Rm 104, Camden, NJ 08103 | 2018-06-13 |
| 1982024717 | Solomon Dawson | Internal Medicine | 3 Cooper Plz Rm 104, Camden, NJ 08103 | 2014-04-19 |
| 1104265529 | James Enrnest Siegler | Internal Medicine | 3 Cooper Plz Rm 104, Camden, NJ 08103 | 2013-06-19 |
| 1396006516 | Maura C. Porto | Internal Medicine | 3 Cooper Plz Rm 104, Camden, NJ 08103-1407 | 2012-06-05 |
| 1316231822 | Olga Regina Thon | Internal Medicine | 3 Cooper Plz Rm 104, Camden, NJ 08103-1407 | 2011-06-01 |
| 1033433966 | Christopher Bilbao | Neurological Surgery | 3 Cooper Plz Rm 104, Camden, NJ 08103-1407 | 2010-03-22 |
| 1013143627 | Bradley Allen Dengler | Neurological Surgery | 3 Cooper Plz Rm 104, Camden, NJ 08103 | 2009-06-09 |
| 1023261112 | Elizabeth Leilani Lee | Internal Medicine | 3 Cooper Plz Rm 104, Camden, NJ 08103-1407 | 2008-11-03 |
| 1154580751 | Matthew Theys Kleiner | Orthopaedic Surgery | 3 Cooper Plz Rm 104, Camden, NJ 08103 | 2008-06-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457647075 | Cooper Surgical Associates, Pa | Neurological Surgery | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2011-06-22 |
| 1033433966 | Christopher Bilbao | Neurological Surgery | 3 Cooper Plz Rm 104, Camden, NJ 08103-1407 | 2010-03-22 |
| 1013143627 | Bradley Allen Dengler | Neurological Surgery | 3 Cooper Plz Rm 104, Camden, NJ 08103 | 2009-06-09 |
| 1467645416 | Cooper Surgical Associates | Neurological Surgery | 3 Cooper Plz, Suite 403, Camden, NJ 08103-1438 | 2007-08-23 |
| 1740360247 | Brian T Jankowitz | Neurological Surgery | 3 Cooper Plz Rm 104, Camden, NJ 08103-1407 | 2006-10-17 |
| 1730272550 | Steven S Yocom | Neurological Surgery | 3 Cooper Plz, Suite 104, Camden, NJ 08103-1438 | 2006-10-02 |
| 1497851927 | Howard W Goldman | Neurological Surgery | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2006-09-15 |
| 1346266939 | Melissa Ann Carran | Neurological Surgery | 3 Cooper Plz, Suite 215 (neurology), Camden, NJ 08103-1438 | 2006-07-15 |
| 1174554901 | Amy Colcher | Neurological Surgery | 3 Cooper Plz, Suite 215, Camden, NJ 08103-1438 | 2006-07-06 |
| 1740256965 | Mindy Susan Haenn | Neurological Surgery | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2006-02-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.