NPIMap

Organization Active NPI

Jeffrey a. Halpert DPM, LLC

  • Podiatrist
  • Parma, OH
National Provider Identifier
1396750048
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
002495 Issued in OH
Legal business name
JEFFREY A. HALPERT DPM, LLC
Practice address
5625 Ridge Rd
Parma, OH 44129-2633
Phone
(440) 884-4100
Fax
(440) 884-4742
NPI assigned
Jul 30, 2006
Last updated
May 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Jeffrey A. Halpert, DPMNPI 1043241938
Title
Business Manager
Phone
(440) 884-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 002495 OH Primary

Addresses

Primary practice location

5625 Ridge Rd
Parma, OH 44129-2633

Mailing address

5625 Ridge Rd
Parma, OH 44129-2633
Phone (440) 884-4100

Other identifiers 2

IdentifierTypeStateIssuer
2118416MedicaidOH
CN6929OtherOHRAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040825001452 OH Part B Supplier - Clinic/Group Practice 6901870732 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Broadview Heights, OH; Parma, OH
O20100930048710 OH DME Supplier - Physician - Podiatry 6901870732 Practice locations: Parma, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5625 Ridge Rd
Parma, OH 44129
Phone (440) 884-4100

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1396750048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 RIDGE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441292633",
            "telephone_number": "440-884-4100",
            "fax_number": "440-884-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 RIDGE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441292633",
            "telephone_number": "440-884-4100",
            "fax_number": "440-884-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY A. HALPERT DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "HALPERT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "440-884-4100",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "002495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2118416",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CN6929",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.