Provider Demographics
NPI:1083609069
Name:CHOPER, NILES (MD)
Entity Type:Individual
Prefix:DR
First Name:NILES
Middle Name:
Last Name:CHOPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 NEW HAMPSHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-4509
Mailing Address - Country:US
Mailing Address - Phone:732-364-1290
Mailing Address - Fax:732-905-8649
Practice Address - Street 1:400 NEW HAMPSHIRE AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-4509
Practice Address - Country:US
Practice Address - Phone:732-364-1290
Practice Address - Fax:732-905-8649
Is Sole Proprietor?:No
Enumeration Date:2005-09-15
Last Update Date:2007-11-01
Deactivation Date:2006-03-23
Deactivation Code:
Reactivation Date:2006-03-27
Provider Licenses
StateLicense IDTaxonomies
NJMA065067207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ022418VSVMedicare PIN