Betsy Alice Blaskopf Greenleaf, DO

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X

License

25MB070323300 Issued in NJ

Practice address

201 Candlewood CMNS
Howell, NJ 07731-2169

Phone

(866) 758-2357

Fax

(732) 284-3623

NPI assigned

Aug 1, 2006

Last updated

Sep 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Betsy Alice Blaskopf Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2020 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Greenleaf Health and Wellness PC

  • General Practice Physician
  • Howell, NJ
  • NPI 1932714359
  NPD Authorized official

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1700893948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 APPLEGATE RD",
            "city": "MILLSTONE TWP",
            "state": "NJ",
            "postal_code": "085101540",
            "telephone_number": "480-269-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CANDLEWOOD CMNS",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077312169",
            "telephone_number": "866-758-2357",
            "fax_number": "732-284-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENLEAF",
        "first_name": "BETSY",
        "middle_name": "ALICE BLASKOPF",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NJ",
            "license": "25MB070323300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETSY",
            "last_name": "BLASKOPF",
            "middle_name": "ALICE",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Green Meadows Therapy Center
• Green Meadows Therapy Center and Services
• Green Therapeutics
• Marc Greenberg, R.PH.
• Greenleaf Health and Wellness PC
• Josane Gringel, RPH
• Conrad Peter Gross, D.D.S.
• Swati Gupta, DDS
• Rebecca E Haggarty, PT, DPT
• Hal Ornstein Et Al PTR Affiliated Foot & Ankle Center LLP

• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Howell, NJ
• Providers in Howell, NJ by specialty
• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.