Organization Active NPI

Robert G Beitman, MD PA

  • Gastroenterology Physician
  • Cape May Court House, NJ
National Provider Identifier
1487813416
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA03712000 Issued in NJ
Legal business name
ROBERT G BEITMAN, MD PA
Practice address
15 Village Dr
Cape May Court House, NJ 08210-1939
Phone
(609) 465-2112
Fax
(609) 463-0921
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Robert Glenn Beitman, MDNPI 1972538288
Title
Physician
Phone
(609) 465-2112

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
Gastroenterology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0100X 25MA03712000 NJ Primary

Addresses

Primary practice location

15 Village Dr
Cape May Court House, NJ 08210-1939

Mailing address

15 Village Dr
P O Box 70
Cape May Court House, NJ 08210-1939
Phone (609) 465-2112

Other identifiers 2

IdentifierTypeStateIssuer
4667506MedicaidNJ
442163179OtherNJRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080730000234 NJ Part B Supplier - Clinic/Group Practice 8426122177 Receives reassigned benefits from 1 practitioner
Practice locations: Cape May Court House, NJ; Somers Point, NJ; Ocean View, NJ; N Cape May, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0120218Robert G Beitman MD15 Village Dr P O Box 70, Cape May Court House, NJ 08210Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

15 Village Dr
Cape May Court House, NJ 08210
Phone (609) 465-2112

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1487813416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 VILLAGE DR",
            "address_2": "P O BOX 70",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082101939",
            "telephone_number": "609-465-2112",
            "fax_number": "609-463-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 VILLAGE DR",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082101939",
            "telephone_number": "609-465-2112",
            "fax_number": "609-463-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT G BEITMAN, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "BEITMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "609-465-2112",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA03712000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4667506",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "442163179",
            "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 Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.