Burlington Medical Center, P.a.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

25MA03525700 Issued in NJ

Legal business name

BURLINGTON MEDICAL CENTER, P.A.

Practice address

640 Beverly Rancocas Rd
Willingboro, NJ 08046-3736

Phone

(609) 835-9555

Fax

(609) 835-2313

NPI assigned

Sep 21, 2007

Last updated

Sep 21, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nathaniel R Evans II, MD

Title

President

Phone

(609) 835-9555

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nathaniel Rutherford Evans II, M.D.

  • Internal Medicine Physician
  • Willingboro, NJ
  • NPI 1659437549
  NPD (past)

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1255527321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 BEVERLY RANCOCAS RD",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463736",
            "telephone_number": "609-835-9555",
            "fax_number": "609-835-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 BEVERLY RANCOCAS RD",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463736",
            "telephone_number": "609-835-9555",
            "fax_number": "609-835-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON MEDICAL CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "EVANS II",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-835-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "25MA03525700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Brown
• Joshua Alan Buchanan
• Mark Steven Bundy
• Burlington County Eye Physicians II
• Burlington County Obstetrical and Gynecological Associates P a
• Burlington Spine & Rehab, LLC
• Lem Burnham, PH.D.
• Myra Burwell, CNA
• Shantise Byron, LSW
• Jessica T Cabbagestalk

• Clinic/Center in Willingboro, NJ
• Providers in Willingboro, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.