Active NPI
Burton A Scherl, M.D.
- Gastroenterology Physician
- Fort Lee, NJ
National Provider Identifier
1093758492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 25MA02210300
- Practice address
- 1555 Center Ave
Fort Lee, NJ 07024-4612 - Phone
- (201) 945-6564
- Fax
- (201) 461-9038
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 25MA02210300 | NJ | Primary |
Addresses
Primary practice location
1555 Center Ave
Fort Lee, NJ 07024-4612
Mailing address
1555 Center Ave
Fort Lee, NJ 07024-4612
Phone (201) 945-6564
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240300 | Other | GHI | |
| CE8412 | Other | NJ | RAILROAD MEDICARE |
| OKO386 | Other | HEALTHNET | |
| BP314 | Other | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA02210300 | NJ | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Gastroenterology of Bergen County, P.a. | Gastroenterology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Gastroenterology Physician
- Englewood Cliffs, NJ
- NPI 1508808262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200873600000",
"number": "1093758492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 CENTER AVE",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070244612",
"telephone_number": "201-945-6564",
"fax_number": "201-461-9038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 CENTER AVE",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070244612",
"telephone_number": "201-945-6564",
"fax_number": "201-461-9038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHERL",
"first_name": "BURTON",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2008-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "25MA02210300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "240300",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CE8412",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "OKO386",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "BP314",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.