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

LicenseStateTypeSpecialty
25MP00009800NJMDMedical Physician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
25MP00009800OtherNJSTATE LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 26, 2010.

{
    "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

All providers in Wayne, NJ · Medical Physician Assistant in New Jersey

Sources for this page

Verify at the official NPI Registry.