Jeffery Dawayne Burgess

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

500 Linda Ave
Hawthorne, NY 10532-1313

Phone

(914) 564-6825

NPI assigned

Sep 5, 2014

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 5, 2014.

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1285035568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LINDA AVE",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105321313",
            "telephone_number": "914-564-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LINDA AVE",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105321313",
            "telephone_number": "914-564-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "JEFFERY",
        "middle_name": "DAWAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Michele Broadnax, FNP,WHNP
• Erika Felicia Brutsaert, M.D.
• Isabella Bulusan, OT
• Corey F Burak, M.D.
• George Burak, M.D.
• Maureen Burke-Davis, N.P.
• Ama Buskwofie, M.D.
• Janill Y Cabrera, LCSW
• Julia M Caico
• Mitchell S Cairo, MD

• All providers in Hawthorne, NY
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.