Cindy Ann Burns, PA-C
Individual provider Active NPI Medical Physician Assistant · Wayne, NJ
NPI 1326348202 · NPPES record last updated Oct 26, 2010
Key facts
- NPI
- 1326348202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 25MP00009800 (NJ)
- Practice address
- 1784 Hamburg Tpke
Wayne, NJ 07470-4094 - Phone
- (973) 831-9925
- Fax
- (973) 831-9926
- NPI assigned
- Oct 26, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00009800 | NJ | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 25MP00009800 | NJ | Yes |
Addresses
Primary practice location
1784 Hamburg Tpke
Wayne, NJ 07470-4094
Mailing address
1784 Hamburg Tpke
Wayne, NJ 07470-4094
Phone (973) 831-9925
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25MP00009800 | Other | NJ | STATE LICENSE |
NPI Registry JSON
{
"created_epoch": "1288051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1326348202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1784 HAMBURG TPKE",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074704094",
"telephone_number": "973-831-9925",
"fax_number": "973-831-9926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1784 HAMBURG TPKE",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074704094",
"telephone_number": "973-831-9925",
"fax_number": "973-831-9926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "CINDY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-26",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NJ",
"license": "25MP00009800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "25MP00009800",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
- Vito Anthony Brunetti
- Joshua Budzinski
- Joshua Zachary Bueno
- Michaela Bukoski
- Olufunke Buraimoh
- Les A Burns
- Alan Mark Burton
- Adam Busch
- Marissa L Bush
- Tracey L Byrne
All providers in Wayne, NJ · Medical Physician Assistant in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.