JACK MCLAUGHLIN BURKE
NPI 1417675901
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since August 19, 2022
57 FORBES ST, BOSTON, MA 02130(508) 942-7414 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2025, Sep 5, 2022, Aug 19, 2022 (3 updates tracked since 2022).

About Jack Mclaughlin Burke NPPES

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

JACK MCLAUGHLIN BURKE (NPI 1417675901) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1417675901
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACK MCLAUGHLIN BURKE
Location Address57 FORBES STBoston, MA 02130-1809
Mailing Address1426 Commonwealth AveBrighton, MA 02135-3716 · (508) 942-7414
Sole ProprietorYes
Enumeration DateAugust 19, 2022
Last NPPES UpdateApril 3, 20253 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
NPI 1417675901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
57 FORBES ST, Boston, MA 02130

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 Jack Burke's NPI number?

The NPI number for Jack Burke is 1417675901. It was assigned to this individual provider in the NPPES registry on August 19, 2022.

Where is Jack Burke located?

Jack Burke practices at 57 Forbes St, Boston, MA 02130. The listed phone number is (508) 942-7414.

What is Jack Burke's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jack Burke was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.