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COOPER FAMILY MEDICINE PC
NPI 1508229790
Family Medicine in Blackwood, NJ

Active since April 04, 2016CLIA 31D1063038 · Waiver
200 COLLEGE DRIVE, BLACKWOOD, NJ 08012(856) 536-1630(856) 536-1635 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: August 23, 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 1508229790) is a healthcare organization registered as a family medicine in Blackwood, New Jersey and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through January 3, 2027 and lists Anthony Mazzarelli, Cmo, as its authorized official.

NPPES Registry Identity

NPI1508229790
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOOPER FAMILY MEDICINE PC
Location Address200 COLLEGE DRIVEBlackwood, NJ 08012-3228
Mailing Address1 Federal Street, Suite Sw200Camden, NJ 08103-1155 · (856) 356-4920 · Fax (856) 382-6455
Phone(856) 536-1630
Fax(856) 536-1635
Organization SubpartYes
Authorized OfficialAnthony MazzarelliCmo · (856) 968-7858
Enumeration DateApril 4, 2016
✔ NPI 1508229790 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.
200 COLLEGE DRIVE, Blackwood, NJ 08012
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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 31D1063038

Cooper Family Medicine (camden Cty College) · Blackwood, NJ
Active · expires Jan 3, 2027
CLIA Number31D1063038
Laboratory TypePhysician Office
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorThomas J. Wall
Laboratory Phone(856) 536-1630
Laboratory LocationCooper Family Medicine (camden Cty College)200 College Drive, Polk Hall, Blackwood, NJ 08012
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1508229790. It was assigned to this organization in the NPPES registry on April 4, 2016.

Where is Cooper Family Medicine PC located?

Cooper Family Medicine PC is located at 200 College Drive, Blackwood, NJ 08012. The listed phone number is (856) 536-1630.

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 31D1063038) is associated with this NPI, valid through January 3, 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 April 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.