Provider Demographics
NPI:1093805855
Name:BURNS, RICHARD K (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:K
Last Name:BURNS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 ENGLISH CREEK AVE
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-5549
Mailing Address - Country:US
Mailing Address - Phone:609-463-3436
Mailing Address - Fax:
Practice Address - Street 1:1925 PACIFIC AVE
Practice Address - Street 2:
Practice Address - City:ATLANTIC CITY
Practice Address - State:NJ
Practice Address - Zip Code:08401-6713
Practice Address - Country:US
Practice Address - Phone:609-441-8023
Practice Address - Fax:609-441-8173
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA056853002086S0102X
PAMD038853E2086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA15394460001Medicaid
NJ010003762 00OtherAMERICHOICE
NJ186992 SH7Medicare PIN
NJ027922000OtherAMERIHEALTH/KEYSTONE/IBC
NJ1067597OtherHORIZON NJ HEALTH
NJ31732OtherUNIVERSITY HEALTH PLAN
NJP00286165OtherRR MEDICARE
NJ1543508OtherUNITED HEALTHCARE
PA15394460001Medicaid
NJ186992OtherAMERIHEALTH PPO/ PA BS
NJ5304300Medicaid
NJ3161473OtherAETNA
NJ60017104OtherHORIZN NJ HEALTH
NJP998876OtherOXFORD
NJ186992 AN0Medicare PIN