COOPER SURGICAL ASSOCIATES NPI 1003009051

Podiatrist in Sewell, NJ

About COOPER SURGICAL ASSOCIATES

Cooper Surgical Associates is a provider in Sewell, NJ. The NPI number assigned to this provider is 1003009051. The practitioner's primary taxonomy code is Podiatrist (213E00000X). The provider is registered as an organization and their NPI record was last updated 10 years ago. Cooper Surgical Associates operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI1003009051 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameCOOPER SURGICAL ASSOCIATES
Provider Location Address4 PLAZA DR SUITE 402 SEWELL, NJ 08080 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address3 COOPER PLZ SUITE 502 CAMDEN, NJ 08103 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?Yes Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-23-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-23-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

COOPER SURGICAL ASSOCIATES
4 PLAZA DR
SUITE 402
SEWELL, NJ
ZIP 08080
Phone: (856) 270-4040
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Mailing Address

COOPER SURGICAL ASSOCIATES
3 COOPER PLZ
SUITE 502
CAMDEN, NJ
ZIP 08103
Phone: (856) 968-7433

Primary Taxonomy

Taxonomy Code213E00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPodiatrist
TypePodiatric Medicine & Surgery Service Providers
Taxonomy DescriptionA podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Authorized Official

Authorized Official Name ROBERT MCMULLEN Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleEVP - MANAGED CARE
Authorized Official Phone(856) 968-7263

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2846863000OTHER (01)NJ
3285316MEDICAID (05)NJ
900276MEDICARE OSCAR/CERTIFICATION (06)NJ

Map Location


COOPER SURGICAL ASSOCIATES address is 4 PLAZA DR SUITE 402 SEWELL, NJ 08080

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356431050 COLLEEN K REILLY RN, APN
Individual
Nurse Practitioner4 PLAZA DR SUITE 402
SEWELL, NJ 08080
(856) 270-4040
1619256278 NANA A L SHAMES BSN, FNP-BC
Individual
Clinical Nurse Specialist (Family Health)4 PLAZA DR SUITE 401
SEWELL, NJ 08080
(856) 270-4050