BURGESS L. BERLIN, M.D., P.A.
NPI 1053357574
Specialist in South Orange, NJ

Active since June 22, 2006
125 PROSPECT ST, SOUTH ORANGE, NJ 07079(973) 761-7755(973) 761-6290 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Burgess L. Berlin, M.d., P.a. NPPES

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

BURGESS L. BERLIN, M.D., P.A. (NPI 1053357574) is a healthcare organization registered as a specialist in South Orange, New Jersey and active in the NPI registry since June 2006. The organization lists Burgess L. Berlin, President, as its authorized official.

NPPES Registry Identity

NPI1053357574
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBURGESS L. BERLIN, M.D., P.A.
Location Address125 PROSPECT STSouth Orange, NJ 07079-1801
Mailing Address125 Prospect StSouth Orange, NJ 07079-1801 · (973) 761-7755 · Fax (973) 761-6290
Fax(973) 761-6290
Organization SubpartNo
Authorized OfficialBurgess L. BerlinPresident · (973) 761-7755
Enumeration DateJune 22, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1053357574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NJ · MA30653
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

125 PROSPECT ST, South Orange, NJ 07079

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
125 PROSPECT ST, BURGESS L. BERLIN, M.D., P.A.
SOUTH ORANGE, NJ 07079
Obstetrics & Gynecology (Obstetrics)
125 PROSPECT ST, BURGESS LEE BERLIN, M.D., P.A.
SOUTH ORANGE, NJ 07079
Acupuncturist
125 PROSPECT ST
SOUTH ORANGE, NJ 07079

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 Burgess L. Berlin, M.D., P.A.'s NPI number?

The NPI number for Burgess L. Berlin, M.D., P.A. is 1053357574. It was assigned to this organization in the NPPES registry on June 22, 2006.

Where is Burgess L. Berlin, M.D., P.A. located?

Burgess L. Berlin, M.D., P.A. is located at 125 Prospect St, South Orange, NJ 07079. The listed phone number is (973) 761-7755.

What is Burgess L. Berlin, M.D., P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Burgess L. Berlin, M.D., P.A. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.