DAVID EDWARD BURNHAM (NPI# 1962053801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962053801 |
Entity Type | Individual |
Full Name | DAVID EDWARD BURNHAM |
Practice Address |
615 Hope Rd Bldg 5b2nd Eatontown NJ 07724-1277 |
Practice Telephone | 7323890697 |
Practice Fax Number | 7323890611 |
Mailing Telephone | 7323890697 |
Mailing Fax Number | 7323890611 |
Enumeration Date | 2019-09-23 |
Last Update Date | 2019-09-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
37PC00668900 | NJ | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245566702 | David Burnham I | Adult Companion | 3111 Electric Ave., Port Huron, MI 48060 | 2009-10-19 |
1124022538 | David Burnham | Surgery | 245 Terracina Blvd Ste 202, Redlands, CA 92373-4867 | 2005-06-13 |
1073869012 | David Bryant Burnham | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0001 | 2012-07-27 |
1538453105 | David R Burnham | Physical Therapist | 1001 Cromwell Bridge Rd, Suite 300, Third Floor, Baltimore, MD 21286-3300 | 2011-06-01 |
1346201951 | David E Burnham | Pediatrics | 401 N 17th St, Suite 203, Allentown, PA 18104-5034 | 2006-03-31 |
Street Address |
615 HOPE RD BLDG 5B2ND |
City | EATONTOWN |
State | NJ |
Zip Code | 07724-1277 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700422409 | Samantha Jade Saks | Social Worker | 615 Hope Rd Bldg 5b2nd, Eatontown, NJ 07724-1277 | 2019-11-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437719788 | Zsanae Lewis | Driver | 1 Main St Unit 401, Eatontown, NJ 07724 | 2019-06-18 |
1417419169 | Refocus | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 613 Hope Road, Building 5 and 2, Eatontown, NJ 07724 | 2019-04-02 |
1215401575 | Angela Fordham-lewis | Day Training/Habilitation Specialist | 613 Hope Road, Building #2, Eatontown, NJ 07724 | 2019-01-18 |
1174094312 | Patti Kousoulis | Counselor | 10 Industrial Way East, Eatontown, NJ 07724 | 2018-12-16 |
1649745589 | Jersey Shore Dental Spa LLC | Dentist | 613 Hope Road Building 5, Eatontown, NJ 07724 | 2018-10-08 |
1487135448 | A2z Diagnostics LLC | Pathology | 6 Industrial Way W Ste F19, Eatontown, NJ 07724 | 2018-08-27 |
1942708268 | Elyce Jackson | Counselor | 10 Industrial Way, Eatontown, NJ 07724 | 2018-02-01 |
1477065894 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 249, Eatontown, NJ 07724 | 2017-10-25 |
1639681059 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 277, Eatontown, NJ 07724 | 2017-10-25 |
1669998100 | Seacrest Recovery Center North Jersey, LLC | Psychologist | 162 Highway 35, Eatontown, NJ 07724 | 2017-08-16 |
Find all providers in zip 07724 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710590146 | Amanda Gillespie | Counselor | 154 Waypoint Dr, Eatontown, NJ 07724-2184 | 2020-08-25 |
1174094312 | Patti Kousoulis | Counselor | 10 Industrial Way East, Eatontown, NJ 07724 | 2018-12-16 |
1659879369 | Janna Foster | Counselor | 44 Irving Pl, Eatontown, NJ 07724-1625 | 2018-01-28 |
1174064489 | Ashley Shanahan | Counselor | 615 Hope Rd, Eatontown, NJ 07724-1277 | 2017-03-20 |
1962815001 | Jenna Siciliano | Counselor | 613 Hope Rd, Eatontown, NJ 07724-1278 | 2014-06-06 |
1295155240 | Danielle Bossert | Counselor | 613 Hope Rd, Bldg 4, Second Floor, Eatontown, NJ 07724-1278 | 2014-04-17 |
1114132297 | Ruth Castellano | Counselor | 615 Hope Rd, Building 3a, Eatontown, NJ 07724-1277 | 2007-05-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518568203 | Shannon Smith | Counselor | 99 Huckleberry Ct, Three Bridges, NJ 08887-2109 | 2020-11-08 |
1720689516 | Janice Belarmino | Counselor | 22 5th Ave, Avenel, NJ 07001 | 2020-11-06 |
1457951048 | James Peter Gallagher | Counselor | 3005 Vroom Dr, Bridgewater, NJ 08807-7037 | 2020-11-01 |
1669072542 | Lauren Marie Didonato | Counselor | 1533 Hillside Dr, Cherry Hill, NJ 08003-3536 | 2020-10-29 |
1699375840 | Letitia Schuman | Counselor | 217 N Locust Ave, Marlton, NJ 08053-1787 | 2020-10-27 |
1629677703 | Shoshana Yaffa Hochstadter | Counselor | 123 Edgewood Ave, Clifton, NJ 07012-1514 | 2020-10-20 |
1992304356 | Virginia Haase | Counselor | 777 Grove Ave, Edison, NJ 08820-2770 | 2020-10-18 |
1205434214 | Margaret Sunny Sullivan-fullerton | Counselor | 63 Rockwood Dr, Rockaway, NJ 07866-4152 | 2020-10-12 |
1699373860 | William Defilippo | Counselor | 22 Andrea Dr, North Caldwell, NJ 07006-4727 | 2020-10-11 |
1093313389 | Gina Kuijlaars | Counselor | 1390 Valley Rd Ste 2c, Stirling, NJ 07980-1346 | 2020-10-09 |
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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.