NPIMap

Organization Active NPI

Clifton Burt Pain Physician, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Clifton, NJ
National Provider Identifier
1154653962
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
251765-2 Issued in NY
Legal business name
CLIFTON BURT PAIN PHYSICIAN, P.C.
Practice address
C2 Cottage CT
Clifton, NJ 07012-2142
Phone
(973) 928-3363
Fax
(973) 928-3364
NPI assigned
Feb 3, 2010
Last updated
May 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Authorized official

Name
Dr. Clilfton Burt, M.D.
Title
Owner
Phone
(973) 928-3363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 251765-2 NY Primary

Addresses

Primary practice location

C2 Cottage CT
Clifton, NJ 07012-2142

Mailing address

C2 Cottage Court
Clifton, NJ 07012
UM
Phone (973) 928-3363

National Provider Directory

National Provider Directory

Locations

1051 Bloomfield Ave
Ste 10
Clifton, NJ 07012
Phone (973) 928-3363

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1154653962",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "C2 COTTAGE COURT",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07012",
            "telephone_number": "973-928-3363",
            "fax_number": "973-928-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C2 COTTAGE CT",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070122142",
            "telephone_number": "973-928-3363",
            "fax_number": "973-928-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFTON BURT PAIN PHYSICIAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "BURT",
        "authorized_official_first_name": "CLILFTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-928-3363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "251765-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.