Organization Active NPI

Cape Internal Medicine PC

  • Internal Medicine Physician
  • Cape May Court House, NJ
National Provider Identifier
1801853601
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MB028872 Issued in NJ
Legal business name
CAPE INTERNAL MEDICINE PC
Practice address
1 Enterprise Dr
Suite a
Cape May Court House, NJ 08210-3504
Phone
(609) 465-9980
Fax
(609) 465-9982
NPI assigned
Apr 27, 2006
Last updated
Oct 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Dr. Jeffrey R Stave, DO
Title
Owner
Phone
(609) 465-9980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MB028872 NJ Primary

Addresses

Primary practice location

1 Enterprise Dr
Suite a
Cape May Court House, NJ 08210-3504

Mailing address

PO Box 56
Cape May Court House, NJ 08210-0056
Phone (609) 465-9980

Other identifiers 2

IdentifierTypeStateIssuer
1325302MedicaidNJ
110227869OtherNJRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1 Enterprise Dr
Ste A
Cape May Court House, NJ 08210
Phone (609) 465-9980

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": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1801853601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082100056",
            "telephone_number": "609-465-9980",
            "fax_number": "609-465-9982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ENTERPRISE DR",
            "address_2": "SUITE A",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082103504",
            "telephone_number": "609-465-9980",
            "fax_number": "609-465-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "STAVE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-465-9980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB028872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1325302",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110227869",
            "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 Oct 29, 2007; 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.