Active NPI
Lorraine Catherine Bopp, DPM
- Podiatrist
- Brick, NJ
National Provider Identifier
1043287741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 25MD00202400
- Practice address
- 35 Beaverson Blvd
Ste 1a
Brick, NJ 08723 - Phone
- (732) 477-0441
- Fax
- (732) 477-9057
- NPI assigned
- Mar 2, 2006
- Last updated
- Mar 18, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 25MD00202400 | NJ | Primary |
Addresses
Primary practice location
35 Beaverson Blvd
Ste 1a
Brick, NJ 08723
Mailing address
35 Beaverson Blvd
Ste 1a
Brick, NJ 08723
Phone (732) 477-0441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1043287741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 BEAVERSON BLVD",
"address_2": "STE 1A",
"city": "BRICK",
"state": "NJ",
"postal_code": "08723",
"telephone_number": "732-477-0441",
"fax_number": "732-477-9057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 BEAVERSON BLVD",
"address_2": "STE 1A",
"city": "BRICK",
"state": "NJ",
"postal_code": "08723",
"telephone_number": "732-477-0441",
"fax_number": "732-477-9057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOPP",
"first_name": "LORRAINE",
"middle_name": "CATHERINE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-02",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "25MD00202400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.