Individual
JEROME A COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 LOCKWOOD AVE, SUITE #28, NEW ROCHELLE, NY 10804
(914) 633-7870
(914) 633-7626
Mailing address
150 LOCKWOOD AVE, SUITE #28, NEW ROCHELLE, NY 10804
(914) 633-7870
(914) 633-7626
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
090394
NY
207RC0000X
Cardiovascular Disease Physician
Primary
090394
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000873
PHS
—
05
—
00142847
—
NY
01
—
01227178
UNITED
—
01
—
210550
GHI
—
01
—
23518P
HIP
—
01
—
4123681
AETNA PPO
—
01
—
538167
AETNA HMO
—
01
—
8897196009
CIGNA
—
01
—
W5339
OXFORD
—
Enumeration date
08/23/2006
Last updated
09/11/2025
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