Individual provider Active NPI

Ronald Burbella, MD PC

  • Obstetrics & Gynecology Physician
  • Lawrenceville, NJ
National Provider Identifier
1376523662
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA03214300 Issued in NJ
Practice address
2500 Brunswick Pike
Ste 202
Lawrenceville, NJ 08648-4134
Phone
(609) 530-9100
Fax
(609) 530-0743
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA03214300 NJ Primary

Addresses

Primary practice location

2500 Brunswick Pike
Ste 202
Lawrenceville, NJ 08648-4134

Mailing address

2500 Brunswick Pike
Ste 202
Lawrenceville, NJ 08648-4134
Phone (609) 530-9100

Other identifiers 2

IdentifierTypeStateIssuer
160013018OtherNJRAIL ROAD MEDICARE
1082302MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1376523662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 BRUNSWICK PIKE",
            "address_2": "STE 202",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484134",
            "telephone_number": "609-530-9100",
            "fax_number": "609-530-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BRUNSWICK PIKE",
            "address_2": "STE 202",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484134",
            "telephone_number": "609-530-9100",
            "fax_number": "609-530-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBELLA",
        "first_name": "RONALD",
        "credential": "MD PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA03214300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "160013018",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1082302",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.