Marissa Janel Burg, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

278116-1 Issued in NY

Practice address

25 Hopkins Rd
Williamsville, NY 14221-4641

Phone

(716) 632-8050

Fax

(716) 632-2297

NPI assigned

Apr 24, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mburg@apa.medentdirect.com

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.

• Amherst Pediatric Associates, P.C.

  • Pediatrics Physician
  • Williamsville, NY
  • NPI 1386943496
  NPD (past)
• Amherst Pediatric Associates, P.C.

  • Pediatrics Physician
  • Williamsville, NY
  • NPI 1831180496
  NPD (past)

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1134487473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HOPKINS RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214641",
            "telephone_number": "716-632-8050",
            "fax_number": "716-632-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HOPKINS RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214641",
            "telephone_number": "716-632-8050",
            "fax_number": "716-632-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURG",
        "first_name": "MARISSA",
        "middle_name": "JANEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "278116-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04239176",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Anne Burden, MD
• Amy Burdick, LPN
• Nicole Burdick, LPN
• Steven Burdzy, DNP, CRNA
• Brian David Burford, D.C.
• Lisa M Burgio, LMHC
• Abdussabur Burgos, LPN
• Idel M Burgos, OPTICIAN
• Danielle Dolores Burke, PA-C
• Kathryn Burke

• Pediatrics Physician in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.