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DR. JOHN PETER BURGHARDT JR. DPM
NPI 1003817024
Podiatrist in Coram, NY

Active since August 02, 2005
1013 OLD TOWN RD, CORAM, NY 11727(631) 732-2590(631) 732-2590 Get Directions Write a Review

NPPES record last updated: December 30, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Peter Burghardt Jr. Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN PETER BURGHARDT JR. DPM (NPI 1003817024) is an individual podiatrist in Coram, New York, licensed in New York (002467) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1003817024
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. JOHN PETER BURGHARDT JR.Credential: DPM
Location Address1013 OLD TOWN RDCoram, NY 11727-1853
Mailing Address1013 Old Town RdCoram, NY 11727-1853 · (631) 732-2590 · Fax (631) 732-2590
Phone(631) 732-2590
Fax(631) 732-2590
Sole ProprietorYes
Enumeration DateAugust 2, 2005
Last NPPES UpdateDecember 30, 2010
✔ NPI 1003817024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in NY · 002467
Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

1013 OLD TOWN RD, Coram, NY 11727
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Other Identifiers 1

Medicare UPINT50768NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Burghardt's NPI number?

The NPI number for John Burghardt is 1003817024. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is John Burghardt located?

John Burghardt practices at 1013 Old Town Rd, Coram, NY 11727. The listed phone number is (631) 732-2590.

What is John Burghardt's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for John Burghardt was last updated on December 30, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.