COOPER PEDIATRIC SPECIALIST (NPI# 1972634129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972634129 |
| Entity Type | Organization |
| Organization Name | COOPER PEDIATRIC SPECIALIST |
| Practice Address |
6400 Main St Voorhees NJ 08043-4606 |
| Mailing Address |
3 Cooper Plz Suite 502 Camden NJ 08103-1438 |
| Practice Telephone | 8567519339 |
| Mailing Telephone | 8569687433 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT MCMULLEN (EVP MANGED CARE) |
| Authorized Official Telephone | 8563427263 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 9024603 | 05 | |
| NJ | AMERIHEALTH GRP # | 2123898000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962525485 | Cooper Pediatric Specialist | Pediatrics | 3 Cooper Plz, Suite 200, Camden, NJ 08103-1438 | 2007-04-09 |
| 1740301605 | Cooper Pediatric Specialist | Pediatrics | 4 Plaza Dr Ste 401, Bunker Hill Plaza, Sewell, NJ 08080-2747 | 2007-04-02 |
| 1770616153 | Cooper Pediatric Specialist | Pediatrics | 3 Cooper Plz, Suite 200, Camden, NJ 08103-1438 | 2007-03-14 |
| Street Address |
6400 MAIN ST |
| City | VOORHEES |
| State | NJ |
| Zip Code | 08043-4606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104296524 | Ivette Amnerys Duncan | Nurse Practitioner | 6400 Main St, Voorhees, NJ 08043 | 2015-09-28 |
| 1306968078 | Cooper Pediatric Specialists | Pediatrics | 6400 Main St, Voorhees, NJ 08043-4606 | 2007-04-04 |
| 1639202062 | Cooper Pediatric Specialists | Pediatrics | 6400 Main St, Voorhees, NJ 08043-4606 | 2007-03-14 |
| 1376671669 | Cooper Pediatrics | Pediatrics | 6400 Main St, Piazza Offices, Voorhees, NJ 08043-4606 | 2007-03-01 |
| 1861574295 | Maria Lania-howarth | Allergy & Immunology | 6400 Main St, Main Street Complex, Voorhees, NJ 08043-4606 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186308 | Priya P Amin | Chiropractor | 1307 White Horse Road, Building B Suite 200, Voorhees, NJ 08043 | 2020-08-24 |
| 1184233207 | Creek Healthcare Services LLC | Community/Behavioral Health | 39 William Feather Drive, Voorhees Township, NJ 08043 | 2020-07-24 |
| 1689215345 | Julia Amariti | Dietitian, Registered | 2309 E Evesham Rd Ste 101b, Voorhees, NJ 08043 | 2019-10-03 |
| 1457821787 | Hcp Voorhees Township Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1301 Laurel Oak Road, Voorhees Township, NJ 08043 | 2018-11-29 |
| 1003386665 | Durand, Inc. | In Home Supportive Care | 107 Camden Avenue, Voorhees, NJ 08043 | 2018-11-27 |
| 1285103663 | Samaritan Healthcare & Hospice, Inc. | Hospice, Inpatient | 265 Route 73 South, Voorhees, NJ 08043 | 2018-11-15 |
| 1184192734 | Michelle Ko | Physician Assistant | 900 Centennial Blvd Ste K, Voorhees, NJ 08043 | 2018-11-12 |
| 1346716107 | Ashlee Barton | Counselor | 1103 Sheppard Rd, Voorhees Township, NJ 08043 | 2018-10-19 |
| 1033691472 | Carolyn A Gribbin | Social Worker | 3033 5th Street, Voorhees, NJ 08043 | 2018-09-01 |
| 1164902193 | Paul Pierson | Physical Therapist | 1010 Haddonfield Berlin Rd Ste 401, Voorhees, NJ 08043 | 2018-08-20 |
| Find all providers in zip 08043 | ||||
| Taxonomy Code | 2080P0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Allergy/Immunology |
| A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932294949 | Childrens Health Care Associates of New Jersey PC | Pediatrics | 1012 Laurel Oak Rd, Chop Care Network At Voorhees Scc, Voorhees, NJ 08043-3505 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225177090 | Harumi Jyonouchi | Pediatrics | 90 Bergen St, Doc 5100, Newark, NJ 07103-2425 | 2007-02-06 |
| 1760437768 | Ulrich Bauer | Pediatrics | 546 Westfield Ave, Westfield, NJ 07090-3312 | 2006-05-24 |
| 1912952417 | Kathleen Ann Haines | Pediatrics | 30 Prospect Ave, Wfan-imus Bldg., Hackensack, NJ 07601-1914 | 2006-05-23 |
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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.