Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Burgess L. Berlin, MD, PA

Organization Specialist · NPI 1053357574

Burgess L. Berlin, MD, PA provides Specialist services in South Orange, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

125 Prospect St
South Orange, NJ 07079-1801
Phone: (973) 761-7755
Fax: (973) 761-6290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA30653 (NJ)

Record details

NPI number1053357574
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Burgess Berlin — President · (973) 761-7755
NPI enumeratedJune 22, 2006
Last updated in NPPESAugust 22, 2020
Mailing address125 Prospect St, South Orange, NJ 07079-1801

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