COOPER URGENT CARE, PC
NPI 1205197365
Emergency Medicine - Emergency Medical Services in Cherry Hill, NJ

NPI Status: Active since June 06, 2012

Contact Information

2001 ROUTE 70 E
CHERRY HILL, NJ
ZIP 08003
Phone: (856) 874-0134
Fax: (856) 874-0136

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  • Organization
  • Emergency Medicine
  • Emergency Medical Services
  • CLIA Number: 31D2046547
  • CLIA Cert. Type: Other - URGENT CARE
  • CLIA Exp. Date: 11-30-2026

About COOPER URGENT CARE, PC

This page provides the complete NPI Profile along with additional information for Cooper Urgent Care, Pc, a provider established in Cherry Hill, New Jersey operating as a Emergency Medicine, focusing in emergency medical services . The healthcare provider is registered in the NPI registry with number 1205197365 assigned on June 2012. The practitioner's primary taxonomy code is 207PE0004X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Cooper Urgent Care, Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Anthony J. Mazzarelli M.d. (Chief Medical Office)

NPI
1205197365
Provider Name
COOPER URGENT CARE, PC
Entity Type
Organization
Location Address
2001 ROUTE 70 E CHERRY HILL, NJ 08003
Location Phone
(856) 874-0134
Location Fax
(856) 874-0136
Mailing Address
1 FEDERAL STREET SW-200 CAMDEN, NJ 08103
Mailing Phone
(856) 356-4924
Mailing Fax
(856) 874-0136
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-06-2012
Last Update Date
07-27-2016
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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

Emergency Medicine Emergency Medical Services

Taxonomy Code
207PE0004X
Type
Allopathic & Osteopathic Physicians
License State
NJ
Taxonomy Description
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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.

*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

ANTHONY J. MAZZARELLI M.D.

Authorized Official Title
CHIEF MEDICAL OFFICE
Authorized Official Phone
(856) 968-7858

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
259067MEDICARE PIN (08)NJ 
0309711MEDICAID (05)NJ 

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
31D2046547
Facility Type
Other - URGENT CARE
Certificate Effective Date
December 01, 2024
Certificate Expiration Date
November 30, 2026
Laboratory Director
JENNIFER A. JARECKI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cooper Urgent Care, 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 1205197365, 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 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
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 0 → 0 1 → 2 7 → 14 → 5 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 0 + 5 + 2 + 9 + 1 + 4 + 3 + 1 + 2 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1205197365.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist
2001 ROUTE 70 E
CHERRY HILL, NJ 08003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205197365, enumerated as an "organization" on June 06, 2012.

The provider is located at 2001 ROUTE 70 E CHERRY HILL, NJ 08003 and the phone number is (856) 874-0134.

Emergency Medicine with taxonomy code 207PE0004X and a focus in Emergency Medical Services.

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