Benjamin Meir Burton, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

40QA00621100 Issued in NJ

Practice address

69 Newark Pompton Tpke
Riverdale, NJ 07457-1426

Phone

(973) 248-8111

Fax

(973) 248-8113

NPI assigned

Oct 3, 2006

Last updated

Oct 31, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The New Jersey Center of Physical Therapy, PC

  • Physical Therapist
  • Riverdale, NJ
  • NPI 1063508174

  Sports

  Medicare reassignment NPD Authorized official
• Wayne Orthopedic Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Wayne, NJ
  • NPI 1114250057

  Sports

  Medicare reassignment NPD Authorized official
• Paramus Orthopedic Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Paramus, NJ
  • NPI 1326474081

  Sports

  Medicare reassignment NPD
• Montville Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Montville, NJ
  • NPI 1467617795
  NPD (past) Authorized official
• Paramus Orthopedic Physical Therapy

  • Preferred Provider Organization
  • Paramus, NJ
  • NPI 1588114680
  NPD (past) Authorized official
• Balance and Concussion Therapy Center, LLC

  • Neurology Physical Therapist
  • Hackensack, NJ
  • NPI 1609595057

  Sports

  NPD (past)
• Churchill Orthopedic Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Teaneck, NJ
  • NPI 1770632390

  Sports

  NPD (past)
• Wayne Foot and Ankle Center,PA

  • Foot & Ankle Surgery Podiatrist
  • Wayne, NJ
  • NPI 1669519047
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604102400000",
    "number": "1619061074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 NEWARK POMPTON TPKE",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571426",
            "telephone_number": "973-248-8111",
            "fax_number": "973-248-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 NEWARK POMPTON TPKE",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571426",
            "telephone_number": "973-248-8111",
            "fax_number": "973-248-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "BENJAMIN",
        "middle_name": "MEIR",
        "name_prefix": "Dr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NJ",
            "license": "40QA00621100",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA00621100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "40QA00621100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Physical Therapist in Riverdale, NJ
• Providers in Riverdale, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.