COOPER SURGICAL ASSOCIATES NPI 1003009051

Podiatrist in Sewell, NJ

NPI 1003009051 Organization Podiatrist

About COOPER SURGICAL ASSOCIATES

Cooper Surgical Associates is a provider established in Sewell, New Jersey specializing in podiatrist. The NPI number of Cooper Surgical Associates is 1003009051 and was assigned on August 2007. The practitioner's primary taxonomy code is 213E00000X. The provider is registered as an organization and their NPI record was last updated 14 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. The authorized official of this NPI record is Robert Mcmullen (Evp - Managed Care)

A podiatrist like Cooper Surgical Associates provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

NPI

1003009051

Provider NameCOOPER SURGICAL ASSOCIATES
Provider Location Address4 PLAZA DR SUITE 402 SEWELL, NJ 08080
Provider Mailing Address3 COOPER PLZ SUITE 502 CAMDEN, NJ 08103
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date08-23-2007
Last Update Date08-23-2007


Primary Taxonomy

Taxonomy Code213E00000X
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.

Business Address

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

Get Directions


Mailing Address

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



Authorized Official

Authorized Official Name ROBERT MCMULLEN
Authorized Official TitleEVP - MANAGED CARE
Authorized Official Phone(856) 968-7263

Group Taxonomy


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

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

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary 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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.