NPIMap

Individual provider Active NPI

Kerri A Burlew, PA-C

  • Medical Physician Assistant
  • Toms River, NJ
National Provider Identifier
1396836698
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MP0009530 Issued in NJ
Practice address
500 Lakehurst Rd
Toms River, NJ 08755-8064
Phone
(732) 914-2233
NPI assigned
Sep 28, 2006
Last updated
Feb 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MP0009530 NJ Primary

Addresses

Primary practice location

500 Lakehurst Rd
Toms River, NJ 08755-8064

Mailing address

500 Lakehurst Rd
Toms River, NJ 08755-8064
Phone (732) 914-2233

Other identifiers 1

IdentifierTypeStateIssuer
P00250958OtherNJRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040728000097 NJ Practitioner - Physician Assistant 2860462843 Reassigns benefits to 8 organizations
I20230927003759 NY Practitioner - Physician Assistant 2860462843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morristown Emergency Medical Associates LLCGroup PAC ID 7618136078, 82 clinicians
Atlantic Advanced Urgent CareGroup PAC ID 4385986330, 44 clinicians
Emergency Medical Association of New York PCGroup PAC ID 8426952813, 35 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (954) 939-5000

140 Central Ave
Clark, NJ 07066-1121
Phone (732) 499-0606

1980 Crompond Rd
Cortlandt Manor, NY 10567-4144
Phone (954) 939-5000

333 US Hwy 46
Suite 106
Mountain Lakes, NJ 07046-1741
Phone (973) 939-6220

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MP0009530NJMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
William R. Collini, M.D., P.a. Past Accepting new patients
Emergency Medical Associates of New Jersey PA Past Accepting new patients
Emergency Medical Associates of New Jersey PA PastSince May 10, 2020 Accepting new patients

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1396836698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LAKEHURST RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558064",
            "telephone_number": "732-914-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LAKEHURST RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558064",
            "telephone_number": "732-914-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLEW",
        "first_name": "KERRI",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "MP0009530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00250958",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.