Individual provider Active NPI

Emily A. Burns, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Mount Laurel, NJ
National Provider Identifier
1407847486
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
25MA11079200 Issued in NJ
Practice address
3906 Church Rd
Mount Laurel, NJ 08054-1108
Phone
(856) 596-1600
NPI assigned
Oct 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11265 NH
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 25MA11079200 NJ Primary

Addresses

Primary practice location

3906 Church Rd
Mount Laurel, NJ 08054-1108

Mailing address

3906 Church Rd
Mount Laurel, NJ 08054-1108
Phone (856) 596-1600

Other identifiers 9

IdentifierTypeStateIssuer
990015541OtherRR MEDICARE PIN
544992OtherNHCIGNA PIN
30201483MedicaidNH
011265OtherNHTUFTS PIN
01YP03153NH01OtherNHANTHEM ACES PIN
2575709OtherNHAETNA PIN
H03709OtherNHANTHEM REFERRING UPIN
0140944OtherNHUHC PIN
NH2109OtherNHHPHC PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170824003446 ME Practitioner - Hospice/Palliative CarePractitioner - Family Practice 6204850274
I20210907001161 NJ Practitioner - Hospice/Palliative Care 6204850274 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11265NHMDFamily Medicine Physician
25MA11079200NJMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Healthcare & Hospice, Inc. Hospice and Palliative Medicine CurrentSince Jul 30, 2021 Accepting new patients
Eastern Maine Medical Center CurrentSince Jun 25, 2017 Accepting new patients
Eastern Maine Medical Center CurrentSince Jun 25, 2017 Accepting new patients

Locations

489 State St
#6
Bangor, ME 04401
Phone (207) 973-6676

489 State St
Bangor, ME 04401
Phone (207) 973-8837

931 Union St
Fl 3
Bangor, ME 04401

43 Whiting Hill Rd
Ste 300
Brewer, ME 04412
Phone (207) 973-5000

3906 Church Rd
#P
Mount Laurel, NJ 08054
Phone (856) 552-3261

3906 Church Rd
Mount Laurel, NJ 08054
Phone (856) 222-3292

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1407847486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 CHURCH RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541108",
            "telephone_number": "856-596-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 CHURCH RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541108",
            "telephone_number": "856-596-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "EMILY",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "11265",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NJ",
            "license": "25MA11079200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "990015541",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PIN",
            "identifier": "544992",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30201483",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS PIN",
            "identifier": "011265",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ACES PIN",
            "identifier": "01YP03153NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "2575709",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM REFERRING UPIN",
            "identifier": "H03709",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PIN",
            "identifier": "0140944",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC PIN",
            "identifier": "NH2109",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.