CHARLES RANDALL COOPER MD
NPI 1235557695
Surgery in Berkeley Heights, NJ

Q: What is Charles Cooper's NPI number?

The NPI number for Charles Cooper is 1235557695. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Q: What is Charles Cooper's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Cooper was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since April 02, 2014PECOS EnrolledAccepts Medicare Assignment

1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922(908) 273-4300 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 19, 2021, Jun 12, 2021, Jun 2, 2021 (3 updates tracked since 2021).

On this page

About Charles Randall Cooper Md NPPES

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

CHARLES RANDALL COOPER MD (NPI 1235557695) is an individual surgery provider in Berkeley Heights, New Jersey, licensed in New Jersey (25MA11047800) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1235557695

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameCHARLES RANDALL COOPERCredential: MD

Location Address1 DIAMOND HILL RDBerkeley Heights, NJ 07922-2104

Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104

Phone(908) 273-4300

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateApril 2, 2014

Last NPPES UpdateFebruary 16, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2026

✔ NPI 1235557695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in NJ · 25MA11047800

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License 25MA11047800 (NJ)

1 DIAMOND HILL RD, Berkeley Heights, NJ 07922

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Secondary Practice Location 1

Location 1177 Ft Washingtn Ave, 7GS-313New York, NY 10032-3733 · Phone (212) 305-3038

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles Randall Cooper Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931445657

PECOS Enrollment IDI20211020000893

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Charles Cooper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Medical Group PA

0.5 mi

Multi-Specialty

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922

Reassigned Medicare billing, New Jersey enrollment
1,184 clinicians in this Medicare group

NPI 1942254347 (908) 273-4300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Diagnostic exam of anus using an endoscope 46600

This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.

89 services83 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

84 services84 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

71 services51 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

50 services44 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

22 services22 patients

Removal of external hemorrhoids by rubber banding 46221

Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.

18 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310001

Location30 Prospect AveHackensack, NJ 07601 · Bergen County

Emergency services Birthing friendly

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310076

Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07922 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SILPA GADIRAJU M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

DR. JOHN H DOKKO DO

Internal Medicine (Nephrology)

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

DENISE RIZZOLO PA

Physician Assistant

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

MARIA F DOMINGUEZ BERMEO MD

Family Medicine

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 219-6940

DR. LAWRENCE J NASTRO MD

Internal Medicine (Infectious Disease)

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

DEBRA A RYAN PT

Physical Therapist

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

CHRISTOPHER M BONI DO

Internal Medicine

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 277-8683

LAUREN BARON P.A.

Physician Assistant (Medical)

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 277-8880

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 Charles Cooper's NPI number?

The NPI number for Charles Cooper is 1235557695. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Where is Charles Cooper located?

Charles Cooper practices at 1 Diamond Hill Rd, Berkeley Heights, NJ 07922. The listed phone number is (908) 273-4300.

What is Charles Cooper's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Charles Cooper enrolled in Medicare?

Yes. Charles Cooper is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Charles Cooper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Cooper reassigns Medicare benefits to Summit Medical Group PA (Berkeley Heights, NJ). The 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 Charles Cooper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Cooper accept?

Health plans from Oscar Health list Charles Cooper as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Charles Cooper affiliated with any hospitals?

According to CMS data, Charles Cooper is affiliated with Hackensack University Medical Center and Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Cooper was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.