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

NPI Status: Active since May 10, 2007

Contact Information

110 MARTER AVE
SUITE 503
MOORESTOWN, NJ
ZIP 08057
Phone: (856) 608-8840
Fax: (856) 722-1898

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  • Organization
  • Family Medicine
  • CLIA Number: 31D0945779
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-27-2027

About COOPER FAMILY MEDICINE PC

This page provides the complete NPI Profile along with additional information for Cooper Family Medicine Pc, a primary care provider established in Moorestown, New Jersey operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1093929895 assigned on May 2007. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Robert Mcmullen (Evp Managed Care)

NPI
1093929895
Provider Name
COOPER FAMILY MEDICINE PC
Entity Type
Organization
Location Address
110 MARTER AVE SUITE 503 MOORESTOWN, NJ 08057
Location Phone
(856) 608-8840
Location Fax
(856) 722-1898
Mailing Address
3 COOPER PLZ SUITE 502 CAMDEN, NJ 08103
Mailing Phone
(856) 342-2921
Mailing Fax
(856) 722-1898
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2007
Last Update Date
05-13-2008
Code Navigator

A primary care provider (PCP) like Cooper Family Medicine Pc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBERT MCMULLEN

Authorized Official Title
EVP MANAGED CARE
Authorized Official Phone
(856) 342-2921

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
005775 PAFMEDICARE PIN (08)NJ 
0538689001OTHER (01)NJAMERIHEALTH GRP#

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D0945779
Facility Type
Physician Office
Certificate Effective Date
March 28, 2025
Certificate Expiration Date
March 27, 2027
Laboratory Director
MARIE E. LOUIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cooper Family Medicine Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1093929895, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 9 → 18 → 9 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 8 + 3 + 1 + 8 + 2 + 1 + 8 + 8 + 1 + 8 + 24 = 75

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1093929895.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Surgery
110 MARTER AVE, BUILDING 500, SUITE 506
MOORESTOWN, NJ 08057
Physician Assistant (Surgical)
110 MARTER AVE, SUITE 202
MOORESTOWN, NJ 08057
Family Medicine
110 MARTER AVE, SUITE 408
MOORESTOWN, NJ 08057
Family Medicine
110 MARTER AVE, SUITE 507
MOORESTOWN, NJ 08057
Family Medicine
110 MARTER AVE, BLDG 500, SUITE 503
MOORESTOWN, NJ 08057
Dentist (Orthodontics and Dentofacial Orthopedics)
110 MARTER AVE, SUITE 404
MOORESTOWN, NJ 08057
Surgery
110 MARTER AVE, BUILDING 500 SUITE 506
MOORESTOWN, NJ 08057
Dentist (General Practice)
110 MARTER AVE, SUITE 204
MOORESTOWN, NJ 08057
Internal Medicine
110 MARTER AVE, SUITE 508
MOORESTOWN, NJ 08057
Physical Therapist
110 MARTER AVE, SUITE 504, BUILDING 500
MOORESTOWN, NJ 08057
Physical Therapist
110 MARTER AVE, BUILDING 500, SUITE 504
MOORESTOWN, NJ 08057
Dentist (Periodontics)
110 MARTER AVE
MOORESTOWN, NJ 08057
Pain Medicine (Interventional Pain Medicine)
110 MARTER AVE, SUITE 412
MOORESTOWN, NJ 08057
Social Worker (Clinical)
110 MARTER AVE, SUITE 406
MOORESTOWN, NJ 08057
Physical Therapist
110 MARTER AVE, BUILDING 500, SUITE 504
MOORESTOWN, NJ 08057
Dentist
110 MARTER AVE, SUITE 204
MOORESTOWN, NJ 08057
Psychologist (Clinical)
110 MARTER AVE, SUITE 206
MOORESTOWN, NJ 08057
Family Medicine
110 MARTER AVE, SUITE 408
MOORESTOWN, NJ 08057
Obstetrics & Gynecology
110 MARTER AVE, STE 504
MOORESTOWN, NJ 08057
Obstetrics & Gynecology
110 MARTER AVE, STE 504
MOORESTOWN, NJ 08057

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093929895, enumerated as an "organization" on May 10, 2007.

The provider is located at 110 MARTER AVE SUITE 503 MOORESTOWN, NJ 08057 and the phone number is (856) 608-8840.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare, Medicaid and AmeriHealth. Please consult your insurance carrier or call the provider to verify.