Provider Demographics
NPI:1891710182
Name:SCHLECKER, BURTON A (MD)
Entity Type:Individual
Prefix:DR
First Name:BURTON
Middle Name:A
Last Name:SCHLECKER
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 1:1 DIAMOND HILL RD
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-2104
Mailing Address - Country:US
Mailing Address - Phone:908-273-4300
Mailing Address - Fax:
Practice Address - Street 1:1515 BROAD ST STE B120
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-3059
Practice Address - Country:US
Practice Address - Phone:973-873-7000
Practice Address - Fax:973-743-8943
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA47849208800000X
NJ25MA04784900208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ340005194OtherRAILROAD MEDICARE ID#
NJ11E951OtherEMPIRE BCBS (CLIFTON)
NJ4270488OtherAETNA PPO#
NJ0386177000OtherAMERIHEALTH ID#
NJPS123OtherOXFORD ID#
NJZD0527OtherHEALTHNET
NJ0014543OtherAETNA HMO#
NJ1099815OtherGHI PPO#
NY11E952OtherEMPIRE BCBS (WAYNE)
NJ368319OtherWELLCARE
NJ11E951OtherEMPIRE BCBS (CLIFTON)