NPIMap

Organization Active NPI

Meyer & Bopp DPM

  • Podiatrist
  • Brick, NJ
National Provider Identifier
1730113762
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MEYER & BOPP DPM
Practice address
35 Beaverson Blvd
Suite 1a
Brick, NJ 08723-7854
Phone
(732) 477-0441
Fax
(732) 477-9057
NPI assigned
Jul 10, 2006
Last updated
May 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Dr. Charles D Meyer, DPMNPI 1073581229
Title
Physician
Phone
(732) 477-0441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

35 Beaverson Blvd
Suite 1a
Brick, NJ 08723-7854

Mailing address

35 Beaverson Blvd
Suite 1a
Brick, NJ 08723-7854
Phone (732) 477-0441

Other identifiers 2

IdentifierTypeStateIssuer
480013917OtherNJRAILROAD MEDICARE
5391806MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1730113762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BEAVERSON BLVD",
            "address_2": "SUITE 1A",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237854",
            "telephone_number": "732-477-0441",
            "fax_number": "732-477-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BEAVERSON BLVD",
            "address_2": "SUITE 1A",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237854",
            "telephone_number": "732-477-0441",
            "fax_number": "732-477-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEYER & BOPP DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-477-0441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480013917",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5391806",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.