✓ Licensed & Credentialed Case Manager/Care Coordinator (171M00000X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

DORIS ISOLDE BURNS (NPI #1770193385)

Case Manager/Care Coordinator • BOUND BROOK, NJ • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1770193385
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
171M00000X
Licensed & Credentialed Case Manager/Care Coordinator
Box 32 Service Location & ZIP+4
697 CRESCENT DR, BOUND BROOK, NJ, 08805-1105
✓ 9-Digit EDI 837 ZIP+4 (08805-1105)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1770193385 (DORIS ISOLDE BURNS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1770193385 (NPI-1 Individual Practitioner)
Provider / Legal NameDORIS ISOLDE BURNS
Plain-English SpecialtyLicensed & Credentialed Case Manager/Care Coordinator
NUCC Code: 171M00000X (Case Manager/Care Coordinator)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address697 CRESCENT DR, BOUND BROOK, NJ, 08805-1105
Practice Telephone / FaxTel: (908) 370-3173
Administrative Mailing Address697 CRESCENT DR, BOUND BROOK, NJ, 08805-1105
Enumeration & Last SyncEnumerated: 2020-08-07 | CMS Record Updated: 2020-08-07

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

697 CRESCENT DR, BOUND BROOK, NJ, 08805-1105

🗺️ Open in Google Maps 🏥 More Providers in BOUND BROOK

Plain-English Taxonomy & CMS Crosswalk (171M00000X)

What Does Taxonomy Code 171M00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 171M00000X translates to:
"Licensed & Credentialed Case Manager/Care Coordinator"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Case Manager/Care Coordinator for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DORIS ISOLDE BURNS)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
171M00000X — Case Manager/Care Coordinator
Plain English: Licensed & Credentialed Case Manager/Care Coordinator
State: N/A | License: Verified | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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