Healthcare Provider Details

I. General information

NPI: 1750217378
Provider Name (Legal Business Name): COOPER UNIVERSITY HOSPITAL CAPE REGIONAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1304 ROUTE 47
RIO GRANDE NJ
08242-1399
US

IV. Provider business mailing address

2 STONE HARBOR BLVD
CAPE MAY COURT HOUSE NJ
08210-2138
US

V. Phone/Fax

Practice location:
  • Phone: 609-435-6272
  • Fax:
Mailing address:
  • Phone: 609-463-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN SCIANNI
Title or Position: COOPER CAPE CFO
Credential:
Phone: 609-206-2585