Edward Burak (NPI# 1700995768, PAC ID# 9335034958) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1700995768 |
| PAC ID by PECOS | 9335034958 |
| Professional Enrollment ID | I20050824000834 |
| Full Name | Edward Burak |
| Organization Legal Name | SOUTH MOUNTAIN IMAGING |
| Address |
120 Millburn Ave Suite 101 Millburn NJ 07041-1935 |
| Phone Number | 9733760900 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 1964 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4082509690 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 161 E Main St, Denville, NJ 07834-2647 | 9735861212 | DENVILLE DIAGNOSTICS IMAGING AND OPEN MRI LLC |
| 120 Millburn Ave, Suite 101, Millburn, NJ 07041-1935 | 9733760900 | SOUTH MOUNTAIN IMAGING |
| 601 Hamburg Tpke, Suite 201, Wayne, NJ 07470-2049 | 9732380700 | DENVILLE DIAGNOSTICS IMAGING AND OPEN MRI LLC |
| Organization Legal Name | SOUTH MOUNTAIN IMAGING |
| Physicians | 1 |
| Street Address |
120 MILLBURN AVE SUITE 101 |
| City | MILLBURN |
| State | NJ |
| Zip | 07041-1935 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janine Ferrigno Taddeo | Podiatry | Millburn Podiatry Group, PC | 120 Millburn Ave, Suite 102, Millburn, NJ 07041-1935 |
| Richard M Taddeo | Podiatry | Millburn Podiatry Group, PC | 120 Millburn Ave, Suite 102, Millburn, NJ 07041-1935 |
| Howard Lawrence Blank | Orthopedic Surgery | Associates In Orthopaedic Surgery, Pa | 120 Millburn Ave, Millburn, NJ 07041-1935 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vincent John Mcglone | Optometry | 249 Main St, Millburn, NJ 07041-1122 | |
| Dave Mistry | Physical Therapy | Recovery Physical Therapy, P.C. | 194 Main St, Millburn, NJ 07041-1144 |
| Joel Hirschhorn | Physical Therapy | Recovery Physical Therapy, P.C. | 194 Main St, Millburn, NJ 07041-1144 |
| Robert C Kornhaber | Psychologist, Clinical | 206 Main St, Apt 22, Millburn, NJ 07041-1161 | |
| Boleslav Kotlyar | Ophthalmology | Vitreous Retina Macula Specialists of Nj | 306 Main St, Suite 2, Millburn, NJ 07041-1178 |
| Mona Doshi | Internal Medicine | 306 Main St, Millburn, NJ 07041-1178 | |
| Vatsal S Doshi | Ophthalmology | Vitreous Retina Macula Specialists of Nj | 306 Main St, Suite 2, Millburn, NJ 07041-1178 |
| Victoria V Blom | Clinical Social Worker | 318 Main St, Suite 205, Millburn, NJ 07041-1181 | |
| Michael C Fox | Chiropractic | 318 Main St, Suite 101, Millburn, NJ 07041-1181 | |
| Maria A Santiago | Clinical Social Worker | 318 Main St, Suite 205, Millburn, NJ 07041-1181 | |
| Find all physicians in zip 07041 | |||
| City | MILLBURN |
| Zip Code | 07041 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MILLBURN + DIAGNOSTIC RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.