Active NPI
Roberta Geraldine Buriak, RN
- Home Health Registered Nurse
- New London, CT
National Provider Identifier
1093869117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- R48605
- Practice address
- 225 State St
Suite 103
New London, CT 06320-6357 - Phone
- (860) 443-7222
- Fax
- (860) 437-3498
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | R48605 | CT | Primary |
Addresses
Primary practice location
225 State St
Suite 103
New London, CT 06320-6357
Mailing address
8 N Glenwoods Rd
Gales Ferry, CT 06335-1013
Phone (860) 464-6458
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R48605 | CT | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093869117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 N GLENWOODS RD",
"city": "GALES FERRY",
"state": "CT",
"postal_code": "063351013",
"telephone_number": "860-464-6458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 STATE ST",
"address_2": "SUITE 103",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063206357",
"telephone_number": "860-443-7222",
"fax_number": "860-437-3498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURIAK",
"first_name": "ROBERTA",
"middle_name": "GERALDINE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "CT",
"license": "R48605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.