COOPER FAMILY MEDICINE PC
NPI 1093929895
Family Medicine in Moorestown, NJ
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
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cooper Family Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Cooper Family Medicine PC, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (17)
Camden, NJ 08105
Haddon Heights, NJ 08035
Sewell, NJ 08080
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NJFrequently 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.
Is Cooper Family Medicine PC enrolled in Medicare?
Yes. Cooper Family Medicine PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cooper Family Medicine PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 3 Medicare specialties reassign their Medicare billing to Cooper Family Medicine PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (14), Internal Medicine (2) and Hospitalist (1). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Cooper Family Medicine Pc · NPI 1093929895
Family Medicine organization in Moorestown, New Jersey. Organization record, active in the CMS NPPES registry since May 10, 2007.
## Identity
- **NPI:** 1093929895 (Entity type: Organization)
- **Enumerated:** May 10, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Robert Mcmullen, EVP MANAGED CARE
## Practice location
- **Address:** 110 MARTER AVE, SUITE 503, Moorestown, NJ 08057-3124
- **Phone:** (856) 608-8840 · **Fax:** (856) 722-1898
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (14), Internal Medicine (2), Hospitalist (1); 8 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2008
- **Other identifiers:** Medicare PIN 005775 PAF (NJ); Other 0538689001 (NJ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093929895) · Data from the CMS NPPES public registry.