Individual provider Active NPI

Monique Lisa Abner, MD

  • Plastic Surgery Physician
  • Reading, PA
National Provider Identifier
1003842170
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD468319 Issued in PA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1059ROtherNCBCBS
1341310OtherNCUNITED 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

LicenseStateTypeSpecialty
MD468319PAMDPlastic Surgery Physician
D79733MDMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.