White Oak Professional LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

WHITE OAK PROFESSIONAL LLC

Practice address

240 Shadyside Rd
Ramsey, NJ 07446-1718

Phone

(201) 785-7113

NPI assigned

Apr 28, 2021

Organization subpart

No

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

Authorized official

Name

Talitha Burns, DO

Title

Owner

Phone

(201) 953-3941

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1114509122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SHADYSIDE RD",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461718",
            "telephone_number": "201-953-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 SHADYSIDE RD",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461718",
            "telephone_number": "201-785-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "TALITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-953-3941",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.