Individual provider Active NPI

Daniel Burkhoff, MD PHD

  • Health Educator
  • Saddle Brook, NJ
National Provider Identifier
1386923332
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
189267-1 Issued in NY
Practice address
250 Pehle Avenue
Park 80 West, Suite 403
Saddlebrook, NJ 07633
Phone
(201) 543-2430
NPI assigned
Aug 9, 2011
Last updated
Aug 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X 189267-1 NY Primary

Addresses

Primary practice location

250 Pehle Avenue
Park 80 West, Suite 403
Saddlebrook, NJ 07633

Mailing address

59 Stonewall Cir
West Harrison, NY 10604-1126
Phone (914) 328-0203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
189267-1NYMDHealth Educator

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1386923332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 STONEWALL CIR",
            "city": "WEST HARRISON",
            "state": "NY",
            "postal_code": "106041126",
            "telephone_number": "914-328-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PEHLE AVENUE",
            "address_2": "PARK 80 WEST, SUITE 403",
            "city": "SADDLEBROOK",
            "state": "NJ",
            "postal_code": "07633",
            "telephone_number": "201-543-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHOFF",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NY",
            "license": "189267-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saddle Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.