Individual provider Active NPI

Charles F Birk, DPM

  • Foot & Ankle Surgery Podiatrist
  • Cape May Court House, NJ
National Provider Identifier
1255355335
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD01829 Issued in NJ
Practice address
29 E Mechanic St
Cape May Court House, NJ 08210-2219
Phone
(609) 465-1644
Fax
(609) 465-6180
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X MD01829 NJ Primary

Addresses

Primary practice location

29 E Mechanic St
Cape May Court House, NJ 08210-2219

Mailing address

29 E Mechanic St
PO Box 538
Cape May Court House, NJ 08210-2219
Phone (609) 465-1644

Other identifiers 1

IdentifierTypeStateIssuer
1084305MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110126000719 NJ Practitioner - Podiatry 0547473647 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD01829NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Podiatrists of South Jersey LTD Foot & Ankle Surgery CurrentSince Apr 22, 2024 Accepting new patients

Locations

29 E Mechanic St
Cape May Court House, NJ 08210
Phone (609) 465-1644

150 S Main Rd
Vineland, NJ 08360
Phone (609) 691-2152

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/7753d029-0f68-4c26-8081-55eb23bb5866/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1255355335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 E MECHANIC ST",
            "address_2": "PO BOX 538",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102219",
            "telephone_number": "609-465-1644",
            "fax_number": "609-465-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 E MECHANIC ST",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102219",
            "telephone_number": "609-465-1644",
            "fax_number": "609-465-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRK",
        "first_name": "CHARLES",
        "middle_name": "F",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD01829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1084305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

Verify at the official NPI Registry.