Active NPI
Emily A. Burns, MD
- Hospice and Palliative Medicine (Family Medicine) Physician
- Mount Laurel, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- 25MA11079200
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 990015541 | Other | RR MEDICARE PIN | |
| 544992 | Other | NH | CIGNA PIN |
| 30201483 | Medicaid | NH | |
| 011265 | Other | NH | TUFTS PIN |
| 01YP03153NH01 | Other | NH | ANTHEM ACES PIN |
| 2575709 | Other | NH | AETNA PIN |
| H03709 | Other | NH | ANTHEM REFERRING UPIN |
| 0140944 | Other | NH | UHC PIN |
| NH2109 | Other | NH | HPHC PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11265 | NH | MD | Family Medicine Physician |
| 25MA11079200 | NJ | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Healthcare & Hospice, Inc. | Hospice and Palliative Medicine | Current | Accepting new patients |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | 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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Mount Laurel, NJ
- NPI 1023323367
-
- Rehabilitation Hospital Unit
- Bangor, ME
- NPI 1780674689
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.