Eickhoff Burlington Associates, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EICKHOFF BURLINGTON ASSOCIATES, LLC

Doing business as

ShopRite of Burlington 579

Practice address

1817 Mount Holly Rd
Burlington, NJ 08016-4700

Phone

(856) 824-0394

NPI assigned

Jan 16, 2015

Organization subpart

No

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

Authorized official

Name

Melissa Figueroa Rivera

Title

Third Party Administrator

Phone

(732) 521-8439

Specialties & licenses 1

Addresses

Other names 1

• ShopRite of Burlington 579 Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1265821078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 FAIRVIEW BLVD",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 MOUNT HOLLY RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164700",
            "telephone_number": "856-824-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EICKHOFF BURLINGTON ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA RIVERA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "THIRD PARTY ADMINISTRATOR",
        "authorized_official_telephone_number": "732-521-8439"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ShopRite of Burlington 579",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dva Healthcare Renal Care Inc (Burlington North Dialysis)
• Eckerd Corporation (Rite Aid Pharmacy)
• Gail Patricia Edelman, LPN
• Jhones Edwards
• Roselyn Effah, RN
• Eihab Human Services New Jersey, Inc.
• Eihab Human Services New Jersey, Inc.
• Marwa Mahmoud Mohamed Eltawil, MD
• Fidelia Emesue
• Employment Network Team of New Jersey

• Community/Retail Pharmacy in Burlington, NJ
• Providers in Burlington, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.