Individual provider Active NPI

Meghan Deirdre Burke, MD

  • Pediatrics Physician
  • Sewell, NJ
National Provider Identifier
1679740989
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA09965600 Issued in NJ
Practice address
269 Fish Pond Rd
Sewell, NJ 08080-3047
Phone
(856) 863-9999
Fax
(856) 863-9666
NPI assigned
May 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 249744 NY
Pediatrics Physician 208000000X MD456921 PA
Pediatrics Physician 208000000X 25MA09965600 NJ Primary

Addresses

Primary practice location

269 Fish Pond Rd
Sewell, NJ 08080-3047

Mailing address

269 Fish Pond Rd
Sewell, NJ 08080-3047
Phone (856) 863-9999

Other practice location 1

100 E Penn Sq
6th floor Wanamaker Building
Philadelphia, PA 19107-3323
Phone (215) 590-6267

Other practice location 2

100 E Penn Sq
6th floor Wanamaker Building
Philadelphia, PA 19107-3323
Phone (215) 590-6267

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD456921PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital of Philadelphia Pediatrics Past Accepting new patients

Organizations & group practices 1

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": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1679740989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 FISH POND RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080803047",
            "telephone_number": "856-863-9999",
            "fax_number": "856-863-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 FISH POND RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080803047",
            "telephone_number": "856-863-9999",
            "fax_number": "856-863-9666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Penn Sq",
            "address_2": "6th floor Wanamaker Building",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191073323",
            "country_code": "US",
            "telephone_number": "215-590-6267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 E Penn Sq",
            "address_2": "6th floor Wanamaker Building",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191073323",
            "country_code": "US",
            "telephone_number": "215-590-6267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "MEGHAN",
        "middle_name": "DEIRDRE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "249744",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD456921",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA09965600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.