Amy H. Burke, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00064100 Issued in NJ

Practice address

226 Middle Rd
Suite 1
Hazlet, NJ 07730-1945

Phone

(732) 888-4100

Fax

(732) 888-0430

NPI assigned

Aug 11, 2009

Last updated

Aug 11, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1871725796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 MIDDLE RD",
            "address_2": "SUITE 1",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301945",
            "telephone_number": "732-888-4100",
            "fax_number": "732-888-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 MIDDLE RD",
            "address_2": "SUITE 1",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301945",
            "telephone_number": "732-888-4100",
            "fax_number": "732-888-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "AMY",
        "middle_name": "H.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00064100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Brown, LCSW
• Samantha Brown, PSYD
• Ibrahim Salem Buker, M.D.
• Rebecca Bullen, PT, DPT
• Justin Burgess
• Andrew S Burstiner, M.D.
• Barbara Cabrera, MS, LAC, NCC
• Shirley Cabrera, P.T.
• Ping Cai, DMD
• April Calish

• Physician Assistant in Hazlet, NJ
• Providers in Hazlet, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.

Verify at the official NPI Registry.