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COOPER FAMILY MEDICINE PC
NPI 1093929895
Family Medicine in Moorestown, NJ

Active since May 10, 2007CLIA 31D0945779 · Waiver
110 MARTER AVE, SUITE 503, MOORESTOWN, NJ 08057(856) 608-8840(856) 722-1898 Get Directions Write a Review

NPPES record last updated: May 13, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cooper Family Medicine Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COOPER FAMILY MEDICINE PC (NPI 1093929895) is a healthcare organization registered as a family medicine in Moorestown, New Jersey and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through March 27, 2027 and lists Robert Mcmullen, Evp Managed Care, as its authorized official.

NPPES Registry Identity

NPI1093929895
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOOPER FAMILY MEDICINE PC
Location Address110 MARTER AVE, SUITE 503Moorestown, NJ 08057-3124
Mailing Address3 Cooper Plz, Suite 502Camden, NJ 08103-1438 · (856) 342-2921 · Fax (856) 968-8499
Phone(856) 608-8840
Fax(856) 722-1898
Organization SubpartNo
Authorized OfficialRobert McmullenEvp Managed Care · (856) 342-2921
Enumeration DateMay 10, 2007
Last NPPES UpdateMay 13, 2008
✔ NPI 1093929895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
110 MARTER AVE, Moorestown, NJ 08057
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Other Identifiers 2

Medicare PIN005775 PAFNJ
Other0538689001NJ · Amerihealth Grp#

Group Practice 1

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0945779

Cooper Family Medicine · Moorestown, NJ
Active · expires Mar 27, 2027
CLIA Number31D0945779
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2025
Certificate Expiration DateMarch 27, 2027
Laboratory DirectorMarie E. Louis
Laboratory Phone(856) 608-8840
Laboratory LocationCooper Family MedicineThe 500 Building Suite 503 110 Marter Avenue 1st Floor, Moorestown, NJ 08057
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALAN D. DENNISON MD
Family Medicine
110 MARTER AVE, BLDG 500, SUITE 503
MOORESTOWN, NJ 08057
Burlington County (856) 608-8840
DR. ERIC FRANCIS SCHOENEBECK D.M.D., M.S.
Dentist (Periodontics)
110 MARTER AVE
MOORESTOWN, NJ 08057
Burlington County (856) 727-6453
ACADEMY DERMATOLOGY AND COSMETIC CENTER, PA
Dermatology
110 MARTER AVE, SUITE 306
MOORESTOWN, NJ 08057
Burlington County (856) 642-6450
RACHEL BRAND MARGOLIN LCSW
Social Worker (Clinical)
110 MARTER AVE, SUITE 201
MOORESTOWN, NJ 08057
Burlington County (856) 778-4330
MS. CHERYL C. PRIDE I MSW, LCSW
Social Worker (Clinical)
110 MARTER AVE, SUITE 406
MOORESTOWN, NJ 08057
Burlington County (856) 778-3111
CHARLES J ROSE DMD
Dentist (General Practice)
110 MARTER AVE, SUITE 204
MOORESTOWN, NJ 08057
Burlington County (856) 727-6453
MRS. ANN F. MARKEL P.T.
Physical Therapist
110 MARTER AVE, SUITE 504, BUILDING 500
MOORESTOWN, NJ 08057
Burlington County (856) 914-1400
DELAWARE VALLEY PSYCHOLOGICAL SERVICES, LLC.
Psychologist
110 MARTER AVE, SUITE 201
MOORESTOWN, NJ 08057
Burlington County (856) 778-4330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cooper Family Medicine PC's NPI number?

The NPI number for Cooper Family Medicine PC is 1093929895. It was assigned to this organization in the NPPES registry on May 10, 2007.

Where is Cooper Family Medicine PC located?

Cooper Family Medicine PC is located at 110 Marter Ave Suite 503, Moorestown, NJ 08057. The listed phone number is (856) 608-8840.

What is Cooper Family Medicine PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Cooper Family Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0945779) is associated with this NPI, valid through March 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cooper Family Medicine PC was last updated on May 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.