Organization Active NPI

Amy J. Burke, M.D., P.C.

  • Family Medicine Physician
  • Orchard Park, NY
National Provider Identifier
1306111422
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AMY J. BURKE, M.D., P.C.
Practice address
3775 Southwestern Blvd Ste a
Orchard Park, NY 14127-2159
Phone
(716) 362-3909
Fax
(716) 608-6022
NPI assigned
Mar 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Dr. Amy J. Burke, M.D.NPI 1952563439
Title
Owner
Phone
(716) 362-3909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

3775 Southwestern Blvd Ste a
Orchard Park, NY 14127-2159

Mailing address

3775 Southwestern Blvd Ste a
Orchard Park, NY 14127-2159
Phone (716) 362-3909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130315000089 NY Part B Supplier - Clinic/Group Practice 0143465419 Receives reassigned benefits from 5 practitioners
Practice locations: Orchard Park, NY

National Provider Directory

National Provider Directory

Locations

3775 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 362-3909

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1306111422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 SOUTHWESTERN BLVD STE A",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272159",
            "telephone_number": "716-362-3909",
            "fax_number": "716-608-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 SOUTHWESTERN BLVD STE A",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272159",
            "telephone_number": "716-362-3909",
            "fax_number": "716-608-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY J. BURKE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-362-3909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.