| Burgess L Berlin, MD | |
|
125 Prospect Street, South Orange, NJ 07079 | |
| (973) 761-7755 | |
| (973) 761-6290 |
| Full Name | Burgess L Berlin |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 125 Prospect Street, South Orange, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740268655 | NPI | - | NPPES |
| 046172 | Other | MEDICARE | |
| 3024601 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 25 MA 0306 5300 (New Jersey) | Primary |
| Entity Name | Burgess L Berlin Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053357574 PECOS PAC ID: 4183685928 Enrollment ID: O20041025000452 |
| Mailing Address | Practice Location Address |
|---|---|
| Burgess L Berlin, MD 125 Prospect Street, South Orange, NJ 07079 Ph: (973) 761-7755 | Burgess L Berlin, MD 125 Prospect Street, South Orange, NJ 07079 Ph: (973) 761-7755 |
Thomas F Cuomo, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 61 1st St, South Orange, NJ 07079 Phone: 973-762-8344 Fax: 973-762-1626 | |
Dr. Mehrdad Motamed, MD. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 701 Longview Road, South Orange, NJ 07079 Phone: 973-761-0443 Fax: 401-728-3920 | |
Frederick F Buechel Sr., MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 61 1st St, South Orange, NJ 07079 Phone: 973-762-8344 Fax: 973-762-1626 | |
Thomas E Helbig, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 61 1st St, South Orange, NJ 07079 Phone: 973-762-8344 Fax: 973-762-1626 |