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COOPER PRIMARY CARE AT PENNSVILLE, PA
NPI 1801803051
Internal Medicine in Pennsville, NJ

Active since August 01, 2006
390 NORTH BROAD STREET, CONCORD PROFESSIONAL BUILDING, STE 100, PENNSVILLE, NJ 08070(856) 678-6411(856) 678-7509 Get Directions Write a Review

NPPES record last updated: July 27, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Cooper Primary Care At Pennsville, Pa NPPES

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

COOPER PRIMARY CARE AT PENNSVILLE, PA (NPI 1801803051) is a healthcare organization registered as an internal medicine in Pennsville, New Jersey and active in the NPI registry since August 2006. The organization lists Anthony J. Mazzarelli, Chief Medical Office, as its authorized official.

NPPES Registry Identity

NPI1801803051
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOOPER PRIMARY CARE AT PENNSVILLE, PA
Location Address390 NORTH BROAD STREET, CONCORD PROFESSIONAL BUILDING, STE 100Pennsville, NJ 08070
Mailing Address1 Federal Street, Sw-200Camden, NJ 08103-1155 · (856) 356-4924 · Fax (856) 382-6455
Phone(856) 678-6411
Fax(856) 678-7509
Organization SubpartNo
Authorized OfficialAnthony J. MazzarelliChief Medical Office · (856) 968-7858
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 27, 2016
✔ NPI 1801803051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
390 NORTH BROAD STREET, Pennsville, NJ 08070
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Other Identifiers 6

Other15096Aetna
Medicare PIN707108 C5ANJ
Other0479412001Amerihealth
Medicare PIN707108NJ
Medicaid7209908NJ
Medicare PINCE7308NJ

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 MULTIPLE 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 31D0713649

Cooper Primary Care Center-Pennsville · Pennsville, NJ
Expired · Aug 2, 2026
CLIA Number31D0713649
Laboratory TypePhysician Office
Certificate Effective DateAugust 3, 2024
Certificate Expiration DateAugust 2, 2026
Laboratory DirectorBethany R. Canver
Laboratory Phone(856) 678-6411
Laboratory LocationCooper Primary Care Center-Pennsville390 North Broadway, Pennsville, NJ 08070
CLIA data matches this NPI record on: 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 Primary Care At Pennsville, PA's NPI number?

The NPI number for Cooper Primary Care At Pennsville, PA is 1801803051. It was assigned to this organization in the NPPES registry on August 1, 2006.

Where is Cooper Primary Care At Pennsville, PA located?

Cooper Primary Care At Pennsville, PA is located at 390 North Broad Street Concord Professional Building, Ste 100, Pennsville, NJ 08070. The listed phone number is (856) 678-6411.

What is Cooper Primary Care At Pennsville, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Cooper Primary Care At Pennsville, PA was last updated on July 27, 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.