Healthcare Provider Details

I. General information

NPI: 1881950558
Provider Name (Legal Business Name): SONATA FAITH COOPER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2012
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 W GRAND AVE STE 301
MONTVALE NJ
07645-1813
US

IV. Provider business mailing address

250 OLD HOOK RD
WESTWOOD NJ
07675-3123
US

V. Phone/Fax

Practice location:
  • Phone: 201-746-9150
  • Fax: 201-383-1964
Mailing address:
  • Phone: 201-722-1600
  • Fax: 201-383-1964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number283408
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25MA11329400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: