DR. ROBERT JUSTIN BURGESS


Address: 1111 Amsterdam Ave., New York, NY 10025
Phone: 2125234699

DR. ROBERT JUSTIN BURGESS (NPI# 1225069867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225069867
Entity Type Individual
Full Name DR. ROBERT JUSTIN BURGESS
Credential MD
Practice Address 1111 Amsterdam Ave.
New York
NY 10025
Mailing Address 1780 Broadway
1100
New York
NY 10019
Practice Telephone 2125234699
Practice Fax Number 2125235379
Mailing Telephone 2125902930
Mailing Fax Number 2125902982
Enumeration Date 2006-07-05
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0205X Radiology
Specialization: Radiological Physics
178614 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01424648 05

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Office Location

Street Address 1111 AMSTERDAM AVE.
City NEW YORK
State NY
Zip Code 10025

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811315898 Yavitrie Adhar Registered Nurse 1111 Amsterdam Ave., St. Lukes Hospital, New York, NY 10035 2014-04-07
1174819973 Kimberly Sarosky Pharmacist 1111 Amsterdam Ave., Department of Pharmacy Babcock Building 2nd Floor, New York, NY 10025 2011-06-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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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 Information

Taxonomy Code 2085R0205X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiological Physics

Taxonomy Definition

A radiological physicist deals with the diagnostic and therapeutic applications of roentgen rays, gamma rays from sealed sources, ultrasonic radiation and radio-frequency radiation, as well as the equipment associated with their production and use, including radiation safety.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740512581 Yeh-chi Lo Radiology One Gustave Levy Pl. 1236, 1184 Fifth Ave, New York, NY 10029 2010-02-04
1184655896 Beth Gail Wadler Radiology 160 E 34th St Fl 3, New York, NY 10016-4744 2006-07-05
1417988106 Maria Bouzouki Radiology 1st Ave @ 16th Street, New York, NY 10003 2006-07-05
1821034935 Susan Krysiewicz Radiology First Avenue and 16th Steet, New York, NY 10003 2006-06-20
1790732451 Roy A Holliday Radiology 310 East 14th Street, New York, NY 10003-4201 2006-05-28
1790386399 Carl Elliston Radiology 622 W 168th St, Department of Radiation Oncology, New York, NY 10032 2020-11-02
1871853663 Yongguang Liang Radiology 177 Fort Washington Ave, Milstein Bldg Room #3-265b, New York, NY 10032-3733 2012-05-25
1598813271 Central Park Women Imaging Radiology 1790 Broadway, 9th Floor, New York, NY 10019-1412 2007-01-08
1124176789 New York Radiogoly Associate Radiology 140 4th Ave, Lower Level, New York, NY 10003-4901 2007-01-08
1174554042 Peter I Maslin Radiology 1000 10th Avenue, New York, NY 10019 2006-07-06
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City NEW YORK
Zip Code 10025

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Dataset Information

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.

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