MRS. CAROLINE COOPER (NPI# 1790296820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790296820 |
| Entity Type | Individual |
| Full Name | MRS. CAROLINE COOPER |
| Credential | NP |
| Practice Address |
1208 Driving Park Ave Newark NY 14513-1057 |
| Mailing Address |
5896 Route 21 Williamson NY 14589-9102 |
| Practice Telephone | 3153592640 |
| Mailing Telephone | 5858801320 |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
308497 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1208 DRIVING PARK AVE |
| City | NEWARK |
| State | NY |
| Zip Code | 14513-1057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093714784 | Karen S. Roth | Nurse Practitioner | 1208 Driving Park Ave, Newark, NY 14513-1057 | 2005-07-15 |
| 1972015527 | Monifi A Osmen | Nurse Practitioner | 1208 Driving Park Ave, Newark, NY 14513-1057 | 2017-11-03 |
| 1093199762 | Kuljinder Deol | Internal Medicine | 1208 Driving Park Ave, Newark, NY 14513 | 2015-07-13 |
| 1801201777 | Diane Della Porta | Registered Nurse | 1208 Driving Park Ave, Newark, NY 14513-1057 | 2014-06-30 |
| 1689929663 | Deepak Advani | Internal Medicine | 1208 Driving Park Ave, Newark, NY 14513-1057 | 2012-07-17 |
| 1760737951 | Rochester General Health System | Clinic/Center | 1208 Driving Park Ave, Newark, NY 14513-1057 | 2012-07-13 |
| 1295068427 | Kathleen M Collins | Nurse Practitioner | 1208 Driving Park Ave, Newark, NY 14513-1057 | 2009-09-04 |
| 1538224662 | Andrea Gefell | Physician Assistant | 1208 Driving Park Ave, Newark, NY 14513-1057 | 2006-12-27 |
| 1215096482 | Beverly J Provo | Nurse Practitioner | 1208 Driving Park Ave, Newark, NY 14513-1057 | 2006-12-06 |
| 1629151220 | John Koch | Physician Assistant | 1208 Driving Park Ave, Newark, NY 14513-1057 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215648 | Susan Marie Oberdorf | Speech-Language Pathologist | 133 Elmwood, Newark, NY 14513 | 2020-05-04 |
| 1871077404 | Aisha E Wagner | Nurse Practitioner | 1304 Driving Park Avenue, Newark, NY 14513 | 2018-09-19 |
| 1689192817 | Melanie Swarthout | Case Manager/Care Coordinator | 150 Van Buren St., Newark, NY 14513 | 2017-09-08 |
| 1942650882 | Donna Joy Collins I | Speech-Language Pathologist | 848 Pierson Avenue, Newark, NY 14513 | 2016-06-21 |
| 1972952661 | Cj-mak Transportation, Inc. | Non-emergency Medical Transport (VAN) | 227 State Farm Road, Newark, NY 14513 | 2016-06-03 |
| 1306214473 | Stephanie Belli | Licensed Practical Nurse | 5904 Austin Road, Newark, NY 14513 | 2015-09-08 |
| 1992186712 | Nicole Harris | Nursing Facility/Intermediate Care Facility | 132 Willow Avenue, Newark, NY 14513 | 2015-06-17 |
| 1861802373 | Jeffrey Spencer | Urology | 1202 Driving Park Ave Ste 5, Newark, NY 14513 | 2014-05-06 |
| 1609126648 | Natasha Triplett | Student in an Organized Health Care Education/Training Program | 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 | 2012-09-18 |
| 1922377902 | Lisa E. Williams | Licensed Practical Nurse | 701 Peirson Ave., Newark, NY 14513 | 2011-12-21 |
| Find all providers in zip 14513 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746553 | Ellen Smith | Nurse Practitioner | 340 Airis Dr., Suite 203, Newark, NJ 07114 | 2020-09-30 |
| 1568029411 | Ashley Nicole Warren | Nurse Practitioner | Newark Beth Israel Medical Center, 201 Lyons Ave, Newark, NJ 07112-1782 | 2019-05-28 |
| 1871077404 | Aisha E Wagner | Nurse Practitioner | 1304 Driving Park Avenue, Newark, NY 14513 | 2018-09-19 |
| 1851884456 | Dionne Hutson Hendy | Nurse Practitioner | 52-54 Richelieu Ter, Newark, NJ 07106-1648 | 2018-06-08 |
| 1922472620 | Laura Kretz Mayover | Nurse Practitioner | 4755 Ogletown Stanton Rd Ste 1e50, Newark, DE 19718-2200 | 2015-11-18 |
| 1710312848 | Saino Mathew | Nurse Practitioner | 418 N 13th St, Apt # 1, Newark, NJ 07107-1384 | 2013-09-09 |
| 1871886549 | Debora Gildin | Nurse Practitioner | Continental Airline's Take-care Health Center, Newark International Airport Terminal C, Suite 136, Newark, NJ 07114 | 2011-05-27 |
| 1730486754 | Patricia Marie Wolf | Nurse Practitioner | 1818 Preston Pl, Newark, OH 43055-9328 | 2011-02-28 |
| 1518192640 | Michaelene M Baker Urban | Nurse Practitioner | Building B 86, Omega Drive, Newark, DE 19713-6004 | 2009-05-19 |
| 1316187594 | Sofrado Laggui Samonte Jr. | Nurse Practitioner | 25 Clifton Ave, Apt. 1608-d, Newark, NJ 07104-1872 | 2009-02-27 |
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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.