Provider Demographics
NPI:1841298932
Name:BURROWS, ADRIA (MD)
Entity type:Individual
Prefix:DR
First Name:ADRIA
Middle Name:
Last Name:BURROWS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ADRIA
Other - Middle Name:
Other - Last Name:BURROWS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:600 PAVONIA AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-2932
Mailing Address - Country:US
Mailing Address - Phone:201-963-3937
Mailing Address - Fax:201-963-8823
Practice Address - Street 1:600 PAVONIA AVE STE 6
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-2932
Practice Address - Country:US
Practice Address - Phone:201-963-3937
Practice Address - Fax:201-963-8823
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-12
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06063700207W00000X
NY163544207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01024780Medicaid
MD492246Medicare PIN
NYD91917Medicare UPIN
NY09F662Medicare PIN
NY01024780Medicaid