Active NPI
Elizabeth Ann Burns, D.O.
- Child & Adolescent Psychiatry Physician
- Sicklerville, NJ
National Provider Identifier
1255401402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 25MB05899100
- Practice address
- 104 Independence Blvd
Sicklerville, NJ 08081-1039 - Phone
- (856) 885-4529
- Fax
- (856) 885-6258
- NPI assigned
- Nov 8, 2006
- Last updated
- Feb 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | MB58991 | NJ | |
| Psychiatry Physician | 2084P0800X | 25MB05899100 | NJ | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 25MB05899100 | NJ | Primary |
Addresses
Primary practice location
104 Independence Blvd
Sicklerville, NJ 08081-1039
Mailing address
104 Independence Blvd
Sicklerville, NJ 08081-1039
Phone (856) 885-4529
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB58991 | NJ | MD | Forensic Psychiatry Physician |
| 25MB05899100 | NJ | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regis F Acosta MD LLC | Current | Accepting new patients | |
| Caring Psychiatry, LLC | Past | Accepting new patients |
Locations
104 Independence Blvd
Sicklerville, NJ 08081
Phone (856) 885-4529
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adolescent and Children Mental Health Clinic/Center
- Sicklerville, NJ
- NPI 1902162134
-
- Adult Mental Health Clinic/Center
- Sicklerville, NJ
- NPI 1427364488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1255401402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 INDEPENDENCE BLVD",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080811039",
"telephone_number": "856-885-4529",
"fax_number": "609-567-7252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 INDEPENDENCE BLVD",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080811039",
"telephone_number": "856-885-4529",
"fax_number": "856-885-6258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "NJ",
"license": "MB58991",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MB05899100",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NJ",
"license": "25MB05899100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sicklerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.