Active NPI
Charles F Birk, DPM
- Foot & Ankle Surgery Podiatrist
- Cape May Court House, NJ
National Provider Identifier
1255355335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- MD01829
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1084305 | Medicaid | NJ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD01829 | NJ | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Podiatrists of South Jersey LTD | Foot & Ankle Surgery | Current | 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
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Vineland, NJ
- NPI 1295894558
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.