Active NPI
Anthony J Burdo, PA-C
- Physician Assistant
- Brick, NJ
National Provider Identifier
1366834384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00361500
- Practice address
- 425 Jack Martin Blvd
Ocean Medical Center Emergency Department
Brick, NJ 08724-7732 - Phone
- (732) 840-3340
- NPI assigned
- Feb 27, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00361500 | NJ | Primary |
Addresses
Primary practice location
425 Jack Martin Blvd
Ocean Medical Center Emergency Department
Brick, NJ 08724-7732
Mailing address
425 Jack Martin Blvd
Emergency Department
Brick, NJ 08724-7732
Phone (732) 840-3380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00361500 | NJ | MD | Physician Assistant |
Organizations & group practices 6
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 Medicine Physician
- Manahawkin, NJ
- NPI 1790736940
-
- Emergency Medicine Physician
- Freehold, NJ
- NPI 1538106257
-
- Urgent Care Clinic/Center
- Hazlet, NJ
- NPI 1245595313
-
- Emergency Medicine Physician
- Freehold, NJ
- NPI 1649541087
-
- Emergency Medicine Physician
- Red Bank, NJ
- NPI 1447622402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1366834384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 JACK MARTIN BLVD",
"address_2": "EMERGENCY DEPARTMENT",
"city": "BRICK",
"state": "NJ",
"postal_code": "087247732",
"telephone_number": "732-840-3380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 JACK MARTIN BLVD",
"address_2": "OCEAN MEDICAL CENTER EMERGENCY DEPARTMENT",
"city": "BRICK",
"state": "NJ",
"postal_code": "087247732",
"telephone_number": "732-840-3340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDO",
"first_name": "ANTHONY",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00361500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.