Individual provider Active NPI

Elaine B. Beppel, MD

  • Family Medicine Physician
  • Sewell, NJ
National Provider Identifier
1740259696
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA06131500 Issued in NJ
Practice address
239 Hurffville Crosskeys Rd
Suite 350
Sewell, NJ 08080-4002
Phone
(856) 341-8181
Fax
(856) 341-8180
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA06131500 NJ Primary

Addresses

Primary practice location

239 Hurffville Crosskeys Rd
Suite 350
Sewell, NJ 08080-4002

Mailing address

401 Route 73 N
40 Lake Center Drive, Suite 201a
Marlton, NJ 08053-3425
Phone (856) 355-0340

Other identifiers 1

IdentifierTypeStateIssuer
8045101MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070201000644 NJ Practitioner - Family Practice 1557363645 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06131500NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Jul 1, 2010 Accepting new patients
Virtua Medical Group, PA Family Medicine CurrentSince Jul 1, 2010 Accepting new patients
Virtua Medical Group, PA Past Accepting new patients
Ashurst Family Physicians, PA Family Medicine Past Accepting new patients
Cooper Family Medicine PC Family Medicine Past Accepting new patients
Virtua Medical Group, PA Past Accepting new patients
Lumberton Family Physicians, LLC Family Medicine Past Accepting new patients
Virtua Medical Group, PA Past Accepting new patients
Virtua Medical Group, PA Past Accepting new patients
Cooper Family Medicine, PC Family Medicine Past Accepting new patients
Virtua Medical Group, PA Past Accepting new patients
Virtua Medical Group, PA Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1561 Route 38
Ste 6A
Lumberton, NJ 08048

1561 Route 38
Ste A
Lumberton, NJ 08048
Phone (609) 267-2100

239 Hurffville Crosskeys Rd
Ste 350
Sewell, NJ 08080
Phone (856) 341-8181

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1740259696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N",
            "address_2": "40 LAKE CENTER DRIVE, SUITE 201A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533425",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 HURFFVILLE CROSSKEYS RD",
            "address_2": "SUITE 350",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804002",
            "telephone_number": "856-341-8181",
            "fax_number": "856-341-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEPPEL",
        "first_name": "ELAINE",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA06131500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8045101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.