Active NPI
Richard Michael Burg, M.D.
- Colon & Rectal Surgery Physician
- White Plains, NY
National Provider Identifier
1235227158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 111819
- Practice address
- 170 Maple Ave
Suite C, 4TH Floor
White Plains, NY 10601-4710 - Phone
- (914) 949-0760
- Fax
- (914) 681-0039
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 111819 | NY | Primary |
Addresses
Primary practice location
170 Maple Ave
Suite C, 4TH Floor
White Plains, NY 10601-4710
Mailing address
170 Maple Ave
Suite C, 4TH Floor
White Plains, NY 10601-4710
Phone (914) 949-0760
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WS864 | Other | NY | OXFORD |
| 714935 | Other | NY | UNITEDHEALTHCARE |
| 624031 | Other | NY | BCBS |
| 9563949007 | Other | NY | CIGNA |
| 00325535 | Medicaid | NY | |
| 4203251 | Other | NY | AETNA |
| WP0016 | Other | NY | HEALTHNET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483574400000",
"number": "1235227158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 MAPLE AVE",
"address_2": "SUITE C, 4TH FLOOR",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106014710",
"telephone_number": "914-949-0760",
"fax_number": "914-681-0039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 MAPLE AVE",
"address_2": "SUITE C, 4TH FLOOR",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106014710",
"telephone_number": "914-949-0760",
"fax_number": "914-681-0039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURG",
"first_name": "RICHARD",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2017-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "NY",
"license": "111819",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "WS864",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "714935",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "624031",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9563949007",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00325535",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4203251",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "WP0016",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.