Organization Active NPI

Dr Keith Bopf DPM PA

  • Podiatrist
  • Cape May Court House, NJ
National Provider Identifier
1720258502
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00220800 Issued in NJ
Legal business name
DR KEITH BOPF DPM PA
Practice address
1261 S Route 9
Suite 4
Cape May Court House, NJ 08210-2761
Phone
(609) 465-5599
NPI assigned
Mar 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
Dr. Keith T Bopf, DPM
Title
President
Phone
(609) 465-5599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 25MD00220800 NJ Primary

Addresses

Primary practice location

1261 S Route 9
Suite 4
Cape May Court House, NJ 08210-2761

Mailing address

1261 S Route 9
Suite 4
Cape May Court House, NJ 08210-2729

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101028001383 NJ Part B Supplier - Clinic/Group Practice 0345434874 Receives reassigned benefits from 1 practitioner
Practice locations: Burleigh, NJ; Marmora, NJ

National Provider Directory

National Provider Directory

Locations

1261 Route 9 S
Ste 4
Cape May Court House, NJ 08210
Phone (609) 465-5599

56 Tuckahoe Rd
Marmora, NJ 08223
Phone (609) 246-8400

Practitioners & affiliated clinicians

Practitioners 3

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": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1720258502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 S ROUTE 9",
            "address_2": "SUITE 4",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 S ROUTE 9",
            "address_2": "SUITE 4",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102761",
            "telephone_number": "609-465-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KEITH BOPF DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "BOPF",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-465-5599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00220800",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 21, 2010; 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.