Robert Justin Burgess, MD

Primary specialty

Radiological Physics PhysicianTaxonomy code 2085R0205X

License

178614 Issued in NY

Practice address

1111 Amsterdam Ave.
New York, NY 10025

Phone

(212) 523-4699

Fax

(212) 523-5379

NPI assigned

Jul 5, 2006

Sex

Male

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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Bimc Faculty Practice

  • Sports Medicine (Orthopaedic Surgery) Physician
  • New York, NY
  • NPI 1093906828
  NPD (past)
• East Manhattan Diagnostic Imaging, P.C.

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1558313593
  NPD (past)
• SLR Diagnostic Radiology, P.C.

  • Radiological Physics Physician
  • New York, NY
  • NPI 1225069149
  NPD (past)
• SLR Diagnostic Radiology, P.C.

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1306994173
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225069867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 BROADWAY",
            "address_2": "1100",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-590-2930",
            "fax_number": "212-590-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 AMSTERDAM AVE.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10025",
            "telephone_number": "212-523-4699",
            "fax_number": "212-523-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "ROBERT",
        "middle_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0205X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiological Physics",
            "state": "NY",
            "license": "178614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01424648",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mirjam Burger
• Pamela Courtney Burger
• Susan Ellen Burger, MHS, PHD, IBCLC
• Tali Burger, MA CRISIS AND TRAUMA
• Gabrielle Burgess, OTR/L
• Shayna Burgess
• Katherine Sierra Burgett, PA
• Lauren Ann Burgett
• Montgomry Lisbeth Burgoon, MD
• Adrianna Naomi Burgos Torres, LMSW

• Radiological Physics Physician in New York, NY
• Providers in New York, NY by specialty
• Radiological Physics Physician in New York

• 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.

Verify at the official NPI Registry.