Organization Active NPI

Loren T Burns, MD

  • Procedural Dermatology Physician
  • Haddonfield, NJ
National Provider Identifier
1063614261
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
25MA02696600 Issued in NJ
Legal business name
LOREN T BURNS, MD
Practice address
24W Kings Highway
Haddonfield, NJ 08033-2111
Phone
(856) 795-1341
Fax
(856) 795-5034
NPI assigned
Jun 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Loren T Burns, MD
Title
Owner
Phone
(856) 795-1341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207NS0135X 25MA02696600 NJ Primary

Addresses

Primary practice location

24W Kings Highway
Haddonfield, NJ 08033-2111

Mailing address

24W Kings Highway
Haddonfield, NJ 08033-2111
Phone (856) 795-1341

Other identifiers 2

IdentifierTypeStateIssuer
1487742508OtherNJNPI
1407952864OtherNJNPI

National Provider Directory

National Provider Directory

Locations

24 Kings Hwy W
Haddonfield, NJ 08033
Phone (856) 795-1341

Practitioners & affiliated clinicians

Practitioners 1

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": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1063614261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24W KINGS HIGHWAY",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332111",
            "telephone_number": "856-795-1341",
            "fax_number": "856-795-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24W KINGS HIGHWAY",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332111",
            "telephone_number": "856-795-1341",
            "fax_number": "856-795-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOREN T BURNS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-795-1341",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NJ",
            "license": "25MA02696600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487742508",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1407952864",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddonfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.