DR. GARY R BURKE (NPI# 1164427522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164427522 |
| Entity Type | Individual |
| Full Name | DR. GARY R BURKE |
| Credential | M.D. |
| Practice Address |
1090 Amsterdam Ave Fl 4 New York NY 10025-1737 |
| Mailing Address |
Po Box 95000-4145 Philadelphia PA 19195-0001 |
| Practice Telephone | 2129615500 |
| Practice Fax Number | 2125317640 |
| Mailing Telephone | 2129615500 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2012-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 149825 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00794270 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578974309 | Gary Francis Burke | Emergency Medicine | 170 Manning Dr, Campus Box # 7594, Chapel Hill, NC 27599-7594 | 2014-05-14 |
| 1598744898 | Gary Burke | Internal Medicine | 1 Brace Rd Ste C1, Cherry Hill, NJ 08034-2600 | 2006-01-13 |
| Street Address |
1090 AMSTERDAM AVE FL 4 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407490071 | Monique Shenise Titley | Social Worker | 1090 Amsterdam Ave, New York, NY 10025-1737 | 2019-11-06 |
| 1417428855 | Ewelina Wiecek | Social Worker | 1090 Amsterdam Ave, New York, NY 10025-1737 | 2018-12-11 |
| 1912432964 | Jeletta Jose | Student in an Organized Health Care Education/Training Program | 1090 Amsterdam Ave, New York, NY 10025-1737 | 2017-04-27 |
| 1710419437 | Sabrina Ghim | Student in an Organized Health Care Education/Training Program | 1090 Amsterdam Ave, Suite 16a, New York, NY 10025-1737 | 2017-03-31 |
| 1679005474 | Ziv Nir | Student in an Organized Health Care Education/Training Program | 1090 Amsterdam Ave, Suite F, 16th Floor, New York, NY 10025 | 2017-03-30 |
| 1538691860 | Vivian Chan | Student in an Organized Health Care Education/Training Program | 1090 Amsterdam Ave, Suite 16a, New York, NY 10025-1737 | 2017-03-27 |
| 1336670892 | Annesly Gates | Student in an Organized Health Care Education/Training Program | 1090 Amsterdam Ave, Suie 16a, New York, NY 10025-1737 | 2017-03-25 |
| 1023554318 | St.lukes Roosevelt Hospital Center Childrens Blended Case Managemen | Pediatrics | 1090 Amsterdam Ave, New York, NY 10025-1737 | 2017-01-11 |
| 1841748456 | Marianna Cordovano | Physician Assistant | 1090 Amsterdam Ave, Suite 10a, New York, NY 10025-1737 | 2016-09-13 |
| 1184088981 | Jacqueline Lewandowski | Student in an Organized Health Care Education/Training Program | 1090 Amsterdam Ave, Suite 16 A, New York, NY 10025-1737 | 2016-04-07 |
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|---|---|---|---|---|
| 1730795840 | Third Eye Acupuncture P.C. | Acupuncturist | 255 West 94th Street, Apt. 6k, New York, NY 10025 | 2020-09-23 |
| 1326653882 | Clare Elizabeth Dacey | Social Worker | 251 West 98th Street, Apartment 6-b, New York, NY 10025 | 2020-09-11 |
| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
| 1700402310 | Jean Tully | Counselor | 240 W102nd St., #22a, New York, NY 10025 | 2020-06-19 |
| 1518591692 | Ethan Arthur Baker | Acupuncturist | 309 W. 99th St., Apt. 8b, New York City, NY 10025 | 2020-02-27 |
| 1083258321 | Lisanne Godnick | Social Worker | 210 W 101 St, Nyc, NY 10025 | 2019-10-30 |
| 1558910463 | Cherry Jones | Social Worker | 440 W 114th Street, Clark 6, New York, NY 10025 | 2019-09-04 |
| 1245894674 | Westside Nutrition Pllc | Dietitian, Registered | 240 West 102nd Street, Suite 15, New York, NY 10025 | 2019-05-01 |
| 1518429380 | Nathan Yehuda Ben Agi | Student in an Organized Health Care Education/Training Program | Mt. Sinai St. Lukes, 1111 Amsterdam Avenue, New York, NY 10025 | 2019-04-02 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.