Center for Urologic Care of Berks Co PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

16741501 Issued in PA

Legal business name

CENTER FOR UROLOGIC CARE OF BERKS CO PC

Doing business as

Berks Urologic Surgery Center

Practice address

1320 Broadcasting Rd
Suite 210
Wyomissing, PA 19610-3222

Phone

(610) 685-1044

Fax

(610) 685-1009

NPI assigned

Jul 7, 2005

Last updated

Aug 26, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTER FOR UROLOGIC CARE OF BERKS CO PCAs reported in NPPES

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

Authorized official

Name

Mr. Harry Michael Buchman, MBA

Title

Coo

Phone

(610) 685-4510

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Berks Urologic Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Center for Urologic Care of Berks Co PC

  • Urology Physician
  • Wyomissing, PA
  • NPI 1396742623

  9931001559

  Same PAC ID

Listed as

Berks Urologic Surgery CenterCCN 39C0001139

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Center for Urologic Car

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Center for Urologic Care of Berks Co PC

  • Urology Physician
  • Wyomissing, PA
  • NPI 1396742623
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1033116892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 BROADCASTING RD",
            "address_2": "SUITE 210",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103222",
            "telephone_number": "610-685-1044",
            "fax_number": "610-685-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 BROADCASTING RD",
            "address_2": "SUITE 210",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103222",
            "telephone_number": "610-685-1044",
            "fax_number": "610-685-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR UROLOGIC CARE OF BERKS CO PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR UROLOGIC CARE OF BERKS CO PC",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "BUCHMAN",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "610-685-4510",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "16741501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS FACILITY NUMB",
            "identifier": "1868",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BC FACILITY",
            "identifier": "390849",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berks Urologic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Berks Urologic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Cengeri, MS, OTR/L
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• Kerri Chabin
• Vinod Chacko, M.D.

• Ambulatory Surgical Clinic/Center in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.