Dr. Johanna Burke, MD
Psychiatry & Neurology, Neurology in Medford, Massachusetts
1629331616- Practice location
- 26 City Hall Mall, Medford, MA 02155-4754
- Phone
- 781-306-5463
- Fax
- 781-306-5015
- Last updated
- May 1, 2026
Johanna Burke is a Psychiatry & Neurology, Neurology based in Medford, MA. Johanna Burke practices in Medford, MA and has the professional credentials of MD. The NPI Number for Johanna Burke is 1629331616 and holds a License No. 258207 (MA). The current practice location address for Johanna Burke is 26 City Hall Mall, Medford, MA 02155-4754 and can be reached out via phone at 781-306-5463 and via fax at 781-306-5015.
Provider Profile Details
- NPI Number
- 1629331616
- Provider Name
- Johanna Burke
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 26 City Hall Mall, Medford, MA 02155-4754
- Phone Number
- 781-306-5463
- Fax Number
- 781-306-5015
- Primary Taxonomy
- Psychiatry & Neurology, Neurology · 2084N0400X
- Sole Proprietor
- No
- Other Names
- Johanna Nino Gomez, MD (Former Name)
- Provider Enumeration Date
- June 25, 2012
- Last Update Date
- May 1, 2026
- Certification Date
- May 1, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 26 City Hall Mall
Medford, MA 02155-4754 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-4754
- Phone Number
- 781-306-5463
- Fax Number
- 781-306-5015
Provider Business Mailing Address Details
- Address
- 26 City Hall Mall
Medford, MA 02155-4754 - City
- Medford
- State
- MA
- Zip
- 02155-4754
- Phone Number
- 781-306-5463
- Fax Number
- 781-306-5015
License Information
- License Number
- 258207
- License State
- MA
- Taxonomy
- Psychiatry & Neurology, Neurology · 2084N0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Johanna Burke, MD?
The NPI number of Dr. Johanna Burke, MD is 1629331616. It was assigned on June 25, 2012 and is currently active in the NPPES registry.
What is the specialty of Dr. Johanna Burke, MD?
Dr. Johanna Burke, MD is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X), licensed in MA under license number 258207.
Where does Dr. Johanna Burke, MD practice?
The practice location is 26 City Hall Mall, Medford, MA 02155-4754. The office can be reached at 781-306-5463 (phone) or 781-306-5015 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629331616 directly on the NPPES registry website.