COOPER PEDIATRIC SPECIALISTS NPI 1942334610

NPI Information

NPI: 1942334610
Provider Name: COOPER PEDIATRIC SPECIALISTS
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
110 MARTER AVE
SUITE 402
MOORESTOWN, NJ
ZIP 08057
Phone: (856) 722-9551
Get Directions

COOPER PEDIATRIC SPECIALISTS is a neurology with special qualifications in child neurology psychiatry neurology in Moorestown, NJ. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. COOPER PEDIATRIC SPECIALISTS NPI is 1942334610. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

110 MARTER AVE
SUITE 402
MOORESTOWN, NJ
ZIP 08057-124
Phone: (856) 722-9551

The provider's authorized official is Robert Mcmullen .
The authorized official title is Evp Managed Care and has the following contact phone number (856) 342-7263.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9024603	MEDICAID	NEW JERSEY
2	2126166000	OTHER		AMERIHEALTH GRP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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