Individual provider Active NPI

John Burger, D.O.

  • Obstetrics Physician
  • South Orange, NJ
National Provider Identifier
1699808758
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
MB34763 Issued in NJ
Practice address
125 Prospect St
Burgess Lee Berlin, M.D., P.a.
South Orange, NJ 07079-1801
Phone
(973) 761-7755
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X MB34763 NJ Primary

Addresses

Primary practice location

125 Prospect St
Burgess Lee Berlin, M.D., P.a.
South Orange, NJ 07079-1801

Mailing address

113 Buchanan Rd
Edison, NJ 08820-3672
Phone (732) 494-9411

Other identifiers 1

IdentifierTypeStateIssuer
3024601MedicaidNJ

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
MB34763NJMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Back & Neck Pain Associates Past Accepting new patients
Burgess L. Berlin, M.D., P.a. Specialist PastSince Apr 3, 2001 Accepting new patients
Northeast Spine & Wellness Center LLC Specialist PastSince May 20, 2005 Accepting new patients

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1699808758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 BUCHANAN RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203672",
            "telephone_number": "732-494-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PROSPECT ST",
            "address_2": "BURGESS LEE BERLIN, M.D., P.A.",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791801",
            "telephone_number": "973-761-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGER",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NJ",
            "license": "MB34763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3024601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.