RANDALL BURD (NPI# 1255400099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255400099 |
| Entity Type | Individual |
| Full Name | RANDALL BURD |
| Practice Address |
125 Paterson St Clinical Academic Building - Suite 4100 New Brunswick NJ 08901-1962 |
| Mailing Address |
66 W Gilbert St 2nd Floor Tinton Falls NJ 07701-4947 |
| Practice Telephone | 7322357821 |
| Mailing Telephone | 7322120051 |
| Mailing Fax Number | 7322120713 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
MA72190 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
125 PATERSON ST CLINICAL ACADEMIC BUILDING - SUITE 4100 |
| City | NEW BRUNSWICK |
| State | NJ |
| Zip Code | 08901-1962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942293881 | Stephen Wong | Family Medicine | 125 Paterson St, Suite 5100, New Brunswick, NJ 08901-1962 | 2005-08-25 |
| 1073121109 | Abdul Khayyam Mohammed | Student in an Organized Health Care Education/Training Program | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2020-07-15 |
| 1639796709 | Sophia Rodriguez | Genetic Counselor, MS | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2020-07-06 |
| 1477179216 | Morgan Dunn | Student in an Organized Health Care Education/Training Program | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2020-06-17 |
| 1568087419 | Devika Sachdev | Student in an Organized Health Care Education/Training Program | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2020-06-16 |
| 1174148027 | Natalie M Dicenzo | Student in an Organized Health Care Education/Training Program | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2020-06-16 |
| 1477172831 | Alain Kaldany | Student in an Organized Health Care Education/Training Program | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2020-04-15 |
| 1548899396 | Abigail Brenda Bergman | Student in an Organized Health Care Education/Training Program | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2020-04-03 |
| 1013545292 | Benjamin Horowitz | Student in an Organized Health Care Education/Training Program | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2020-04-01 |
| 1356979520 | Jeremy Silver | Student in an Organized Health Care Education/Training Program | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2020-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083242622 | Daniel Kareem Haddad | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Place, Meb 422a, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636588 | Neil Anjan Basumallik | Student in an Organized Health Care Education/Training Program | Rutgers Rwjms, Department of Medicine, 125 Paterson Street. Cab 7300, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636406 | Naveena Lall | Student in an Organized Health Care Education/Training Program | Rutgers Robert Wood Johnson Internal Medicine Residency, 125 Paterson Street, New Brunswick, NJ 08901 | 2020-03-30 |
| 1801444047 | Swati Vijay Dhobale | Student in an Organized Health Care Education/Training Program | Saint Peter's University Hospital, 254 Easton Avenue, 4th Floor, Cares Room 4014, New Brunswick, NJ 08901 | 2019-08-30 |
| 1962974329 | Lauren Burgstresser | Nurse Practitioner | 181 Somerset Street, 3rd Floor, New Brunswick, NJ 08901 | 2018-12-26 |
| 1851874291 | Damon House Inc. | Substance Abuse Rehabilitation Facility | 105 Joyce Kilmer Ave, New Brunswick, NJ 08901 | 2018-09-12 |
| 1245718204 | Leah Dinardo | Psychologist | 61 Nichol Ave, New Brunswick, NJ 08901 | 2018-08-01 |
| 1730667130 | Keshav Bhandari | Student in an Organized Health Care Education/Training Program | Saint Peters University Hospital, 254 Easton Avenue, 4th Floor Cares, Rm 4014, New Brunswick, NJ 08901 | 2018-07-30 |
| 1942787486 | Mehak Bassi | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-27 |
| 1063908754 | Oluwatoba Opeyemi Moninuola | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014, 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-05 |
| Find all providers in zip 08901 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528265279 | Joelle Pierre | Surgery | One Robert Wood Johnson Place, Department of Pediatric Surgery, New Brunswick, NJ 08903 | 2007-06-27 |
| 1659406957 | Rutgers Health-rwj Pediatric Neurosurgery | Surgery | 125 Paterson St, Umdnj Rwj Pediatric Neuosurgery Suite 2100, New Brunswick, NJ 08901-1962 | 2007-02-23 |
| 1487736146 | Rutgers Health-rwj Pediatric Surgery | Surgery | 125 Paterson St, Suite 4100, New Brunswick, NJ 08901-1962 | 2006-10-20 |
| 1699700542 | Perry W Stafford | Surgery | 125 Paterson St, Suite 4100, New Brunswick, NJ 08901 | 2006-07-11 |
| 1417914276 | Steven Palder | Surgery | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2006-04-27 |
| 1245295153 | John G Gallucci | Surgery | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104064971 | Victoriya Staab | Surgery | 4 Industrial Way, Suite 100, Eatontown, NJ 07724-4238 | 2009-01-31 |
| 1699937961 | Meridian Pediatric Surgical Associates, P.C. | Surgery | 4 Industrial Way W Ste 100, Eatontown, NJ 07724-4239 | 2008-06-27 |
| 1487851366 | Joseph Sujai Udomsaph | Surgery | 7 Baltic St, Edison, NJ 08820-2724 | 2007-07-02 |
| 1851355317 | Saverio Joseph Panzarino | Surgery | 53 Sentinel Dr, Basking Ridge, NJ 07920-4231 | 2006-04-13 |
| 1205812005 | Saad A Saad | Surgery | 615 Hope Rd, Bld 1 A, Eatontown, NJ 07724-1277 | 2005-12-22 |
| 1417591645 | Stc Pediatrics LLC | Surgery | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-31 |
| 1083939573 | Jennifer M Murphy | Surgery | 100 Madison Avenue, Farris Building, Third Floor, Morristown, NJ 07960 | 2010-03-29 |
| 1649463696 | Cooper Surgical Asscociates | Surgery | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2007-08-23 |
| 1932223203 | Saad A Saad Md Pa | Surgery | 615 Hope Rd, Eatontown, NJ 07724-1277 | 2007-03-19 |
| 1982773545 | Frederick Alexander | Surgery | 140 Route 17 North, Suite 321, Paramus, NJ 07652 | 2006-11-07 |
| Find all providers with the same taxonomy | ||||
| City | NEW BRUNSWICK |
| Zip Code | 08901 |
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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.