Individual provider Active NPI

Burton A. Waisbren Jr., MD

  • Internal Medicine Physician
  • Villas, NJ
National Provider Identifier
1780622282
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04698000 Issued in NJ
Practice address
2004 Bayshore Rd
Villas, NJ 08251-1815
Phone
(609) 465-1593
Fax
(866) 353-5743
NPI assigned
Jun 4, 2006
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA04698000 NJ Primary
Cardiovascular Disease Physician 207RC0000X 25MA04698000 NJ

Addresses

Primary practice location

2004 Bayshore Rd
Villas, NJ 08251-1815

Mailing address

2004 Bayshore Rd
Villas, NJ 08251-1815
Phone (609) 465-1593

Other names 1

  • Burton Waisbren Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address burton.waisbren.jr.1@18875.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050429000807 NJ Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 2961441787 Practice locations: Villas, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Tufts University School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2004 Bayshore Rd
Villas, NJ 08251-1815
Phone (609) 465-1593

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA04698000NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper University Hospital Cape Regional Inc Past Accepting new patients
Mark R. Sorensen, M.D, P.a Past Accepting new patients
Burton Waisbren M.D. Professional Association Cardiovascular Disease Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: burton.waisbren.jr.1@18875.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1780622282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 BAYSHORE RD",
            "city": "VILLAS",
            "state": "NJ",
            "postal_code": "082511815",
            "telephone_number": "609-465-1593",
            "fax_number": "866-353-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 BAYSHORE RD",
            "city": "VILLAS",
            "state": "NJ",
            "postal_code": "082511815",
            "telephone_number": "609-465-1593",
            "fax_number": "866-353-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAISBREN",
        "first_name": "BURTON",
        "middle_name": "A.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04698000",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA04698000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "burton.waisbren.jr.1@18875.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2004 Bayshore Rd",
            "city": "Villas",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082511815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BURTON",
            "last_name": "WAISBREN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Villas, NJ

Sources for this page

Verify at the official NPI Registry.