Active NPI
Elizabeth Burgess, RN-PMH-BC
- Psychiatric/Mental Health Registered Nurse
- Woodbury, NJ
National Provider Identifier
1285486274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 26NO11193500
- Practice address
- 17 W Red Bank Ave Ste 302B
Woodbury, NJ 08096-1630 - Phone
- (856) 853-2020
- Fax
- (856) 221-4262
- NPI assigned
- Apr 3, 2024
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26NO11193500 | NJ | |
| Case Management Registered Nurse | 163WC0400X | 26NO11193500 | NJ | |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 26NO11193500 | NJ | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 26NO11193500 | NJ | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 26NO11193500 | NJ | Primary |
Addresses
Primary practice location
17 W Red Bank Ave Ste 302B
Woodbury, NJ 08096-1630
Mailing address
2585 London LN
Vineland, NJ 08361-7755
Phone (856) 853-2020
Other practice location 1
200 Rowan Blvd
Glassboro, NJ 08028-2260
Phone (856) 595-9115 ext. 42139
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NO11193500 | NJ | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspira Medical Centers, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Care Clinic/Center
- Woodbury, NJ
- NPI 1003661554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1285486274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2585 LONDON LN",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083617755",
"telephone_number": "856-853-2020",
"fax_number": "856-221-4262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 W RED BANK AVE STE 302B",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080961630",
"telephone_number": "856-853-2020",
"fax_number": "856-221-4262"
}
],
"practiceLocations": [
{
"address_1": "200 Rowan Blvd",
"address_purpose": "LOCATION",
"city": "Glassboro",
"state": "NJ",
"postal_code": "080282260",
"country_code": "US",
"telephone_number": "856-595-9115 x42139",
"fax_number": "856-221-4262",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURGESS",
"first_name": "ELIZABETH",
"credential": "RN-PMH-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-03",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NO11193500",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "NJ",
"license": "26NO11193500",
"primary": false
},
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "NJ",
"license": "26NO11193500",
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "NJ",
"license": "26NO11193500",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NO11193500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.