Burton Tucker, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MA21625 Issued in NJ

Practice address

11 Overlook Rd
Suite 100
Summit, NJ 07901-3577

Phone

(973) 377-2400

Fax

(973) 377-4117

NPI assigned

Aug 18, 2005

Sex

Male

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Medical Diagnostic Associates, PA

  • Non-Pharmacy Dispensing Site
  • Summit, NJ
  • NPI 1508128224
  NPD (past)

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1932191665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BRANT AVE",
            "address_2": "SUITE 200",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661560",
            "telephone_number": "732-382-0091",
            "fax_number": "732-382-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 OVERLOOK RD",
            "address_2": "SUITE 100",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013577",
            "telephone_number": "973-377-2400",
            "fax_number": "973-377-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "BURTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA21625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• True Nutrition LLC
• Christine Truhe, PSY.D.
• Thu Minh Truong, MD
• Eirini Tsangalidis, M.D.
• Ching Yen Tsao, M.D.
• Susan Tuli, MA
• Sarah Tyndall, NP-C
• Laura A. Tyson, MSW LCSW LCADC
• Charles M. Udvarnoky
• Spencer Ulrich, PT

• Nephrology Physician in Summit, NJ
• Providers in Summit, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.