Individual provider Active NPI

Mark Burns, M.D.

  • Rheumatology Physician
  • New Rochelle, NY
National Provider Identifier
1194813113
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
135509 Issued in NY
Practice address
421 Huguenot St
Suite 44
New Rochelle, NY 10801-7004
Phone
(914) 235-3065
Fax
(914) 235-0660
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 135509 NY Primary

Addresses

Primary practice location

421 Huguenot St
Suite 44
New Rochelle, NY 10801-7004

Mailing address

421 Huguenot St
Suite 44
New Rochelle, NY 10801-7004
Phone (914) 235-3065

Other identifiers 1

IdentifierTypeStateIssuer
00767657MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110406000896 NY Practitioner - Rheumatology 7315129806 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore New Rochelle Hospital CurrentSince Nov 6, 2013 Accepting new patients

Locations

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194813113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 HUGUENOT ST",
            "address_2": "SUITE 44",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017004",
            "telephone_number": "914-235-3065",
            "fax_number": "914-235-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 HUGUENOT ST",
            "address_2": "SUITE 44",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017004",
            "telephone_number": "914-235-3065",
            "fax_number": "914-235-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "135509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00767657",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.