Active NPI
Monique Lisa Abner, MD
- Plastic Surgery Physician
- Reading, PA
National Provider Identifier
1003842170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- MD468319
- Practice address
- 640 Walnut St FL 2
Reading, PA 19601-3504 - Phone
- (610) 378-2160
- Fax
- (610) 378-2197
- NPI assigned
- Jun 23, 2006
- Last updated
- Mar 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | MD468319 | PA | Primary |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | D79733 | MD |
Addresses
Primary practice location
640 Walnut St FL 2
Reading, PA 19601-3504
Mailing address
2500 Bernville Rd
Reading, PA 19605-9453
Other practice location 1
2603 Keiser Blvd Ste 204
Wyomissing, PA 19610-3356
Phone (484) 628-3939
Other practice location 2
2607 Keiser Blvd
Wyomissing, PA 19610-3326
Phone (610) 743-3139
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1059R | Other | NC | BCBS |
| 1341310 | Other | NC | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD468319 | PA | MD | Plastic Surgery Physician |
| D79733 | MD | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646352000000",
"number": "1003842170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 BERNVILLE RD",
"city": "READING",
"state": "PA",
"postal_code": "196059453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 WALNUT ST FL 2",
"city": "READING",
"state": "PA",
"postal_code": "196013504",
"telephone_number": "610-378-2160",
"fax_number": "610-378-2197"
}
],
"practiceLocations": [
{
"address_1": "2603 Keiser Blvd Ste 204",
"address_purpose": "LOCATION",
"city": "Wyomissing",
"state": "PA",
"postal_code": "196103356",
"country_code": "US",
"telephone_number": "484-628-3939",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2607 Keiser Blvd",
"address_purpose": "LOCATION",
"city": "Wyomissing",
"state": "PA",
"postal_code": "196103326",
"country_code": "US",
"telephone_number": "610-743-3139",
"fax_number": "610-743-3143",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABNER",
"first_name": "MONIQUE",
"middle_name": "LISA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2022-03-04",
"certification_date": "2022-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "PA",
"license": "MD468319",
"primary": true
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MD",
"license": "D79733",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1059R",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1341310",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.