Active NPI
Gerald V Burke, M.D.
- Obstetrics & Gynecology Physician
- Stratford, NJ
National Provider Identifier
1275611295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA04577700
- Practice address
- 42 E Laurel Rd
Udp 2500
Stratford, NJ 08084-1354 - Phone
- (856) 218-0300
- Fax
- (856) 589-9487
- NPI assigned
- Nov 1, 2006
- Last updated
- Mar 10, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25MA04577700 | NJ | Primary |
| Reproductive Endocrinology Physician | 207VE0102X | 25MA04577700 | NJ |
Addresses
Primary practice location
42 E Laurel Rd
Udp 2500
Stratford, NJ 08084-1354
Mailing address
42 E Laurel Rd
Udp 2500
Stratford, NJ 08084-1354
Phone (856) 218-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2293005 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140718000020 | NJ | Practitioner - Obstetrics/Gynecology | 8426235441 | Practice locations: Voorhees, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Hahnemann University College of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2301 Evesham Rd
Suite 607
Voorhees, NJ 08043-4507
Phone (856) 429-2212
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael J Gentlesk MD PA | Past | Accepting new patients | |
| Gerald V Burke MD PC | Reproductive Endocrinology | Past | Accepting new patients |
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.
-
- Allergy & Immunology Physician
- Voorhees, NJ
- NPI 1568539047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1275611295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 E LAUREL RD",
"address_2": "UDP 2500",
"city": "STRATFORD",
"state": "NJ",
"postal_code": "080841354",
"telephone_number": "856-218-0300",
"fax_number": "856-589-9487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 E LAUREL RD",
"address_2": "UDP 2500",
"city": "STRATFORD",
"state": "NJ",
"postal_code": "080841354",
"telephone_number": "856-218-0300",
"fax_number": "856-589-9487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "GERALD",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MA04577700",
"primary": true
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "NJ",
"license": "25MA04577700",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2293005",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stratford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.