Provider Demographics
NPI:1154327971
Name:CHOPER, JOAN Z (MD)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:Z
Last Name:CHOPER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:67 LACEY RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:WHITING
Mailing Address - State:NJ
Mailing Address - Zip Code:08759-2912
Mailing Address - Country:US
Mailing Address - Phone:732-849-0707
Mailing Address - Fax:732-849-0016
Practice Address - Street 1:67 LACEY RD
Practice Address - Street 2:SUITE 5
Practice Address - City:WHITING
Practice Address - State:NJ
Practice Address - Zip Code:08759-2912
Practice Address - Country:US
Practice Address - Phone:732-849-0707
Practice Address - Fax:732-849-0016
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA065068207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7852509Medicaid
NJD20883Medicare UPIN
NJ012964Medicare ID - Type Unspecified
NJ7852509Medicaid