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COOPER FAMILY MEDICINE PC
NPI 1962616763
Family Medicine in Sewell, NJ

Active since May 10, 2007CLIA 31D0713103 · Waiver
123 EGG HARBOR RD, BUILDING 600, SUITE 604 TOWER COMMONS, SEWELL, NJ 08080(856) 232-6471(856) 232-7028 Get Directions Write a Review

NPPES record last updated: February 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 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 1962616763) is a healthcare organization registered as a family medicine in Sewell, New Jersey and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through November 21, 2027 and lists Robert Mcmullen, Evp Managed Care, as its authorized official.

NPPES Registry Identity

NPI1962616763
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOOPER FAMILY MEDICINE PC
Location Address123 EGG HARBOR RD, BUILDING 600, SUITE 604 TOWER COMMONSSewell, NJ 08080
Mailing Address3 Cooper Plz, Suite 502Camden, NJ 08103-1438 · (856) 342-2921 · Fax (856) 968-8499
Phone(856) 232-6471
Fax(856) 232-7028
Organization SubpartNo
Authorized OfficialRobert McmullenEvp Managed Care · (856) 342-2921
Enumeration DateMay 10, 2007
Last NPPES UpdateFebruary 5, 2010
✔ NPI 1962616763 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.
123 EGG HARBOR RD, Sewell, NJ 08080
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Other Identifiers 3

Other0341834001NJ · Amerihealth Grp#
Medicare PIN896174 DR8NJ
Medicaid6558101NJ

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 31D0713103

Cooper Family Medicine · Sewell, NJ
Active · expires Nov 21, 2027
CLIA Number31D0713103
Laboratory TypePhysician Office
Certificate Effective DateNovember 22, 2025
Certificate Expiration DateNovember 21, 2027
Laboratory DirectorDanielle Nordone
Laboratory Phone(856) 232-6471
Laboratory LocationCooper Family Medicine123 Egg Harbor Road Building 600, Suite 604, Sewell, NJ 08080
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

SENIOR CARE CENTERS OF AMERICA, INC .
Clinic/Center (Adult Day Care)
123 EGG HARBOR RD, BUILDING 700
SEWELL, NJ 08080
Gloucester County (856) 589-6500
DR. VIJAY SINGH MD
Internal Medicine (Rheumatology)
123 EGG HARBOR RD, SUITE 804
SEWELL, NJ 08080
Gloucester County (856) 302-0500
DR. RENUKA DESAI M.D.
Pediatrics
123 EGG HARBOR RD, TOWER COMMONS STE 206
SEWELL, NJ 08080
Gloucester County (856) 227-5437
KAREN GRUND
Occupational Therapist
123 EGG HARBOR RD, BUILDING 700
SEWELL, NJ 08080
Gloucester County (410) 889-0727
LUIS ALEXANDER RUIZ
Nurse Practitioner (Psychiatric/Mental Health)
123 EGG HARBOR RD
SEWELL, NJ 08080
Gloucester County (856) 689-7616
ELENA MIHAELA LUMEZANU MD
Internal Medicine (Rheumatology)
123 EGG HARBOR RD, SUITE 804
SEWELL, NJ 08080
Gloucester County (856) 302-0500
TREIMAN FAMILY MEDICINE LIMITED LIABILITY COMPANY
Family Medicine
123 EGG HARBOR RD, SUITE 403
SEWELL, NJ 08080
Gloucester County (856) 227-4606
JEANNETTE M. GAGLIARDI, LCSW, LLC
Social Worker (Clinical)
123 EGG HARBOR RD, SUITE 202
SEWELL, NJ 08080
Gloucester County (856) 347-0445

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 1962616763. 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 123 Egg Harbor Rd Building 600, Suite 604 Tower Commons, Sewell, NJ 08080. The listed phone number is (856) 232-6471.

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 31D0713103) is associated with this NPI, valid through November 21, 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 February 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.