Active NPI
Joseph Berk MD PA
- Pediatrics Physician
- Owings Mills, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- JOSEPH BERK MD PA
- Practice address
- 9199 Reisterstown Rd
Suite 207a
Owings Mills, MD 21117-4520 - Phone
- (410) 654-4525
- NPI assigned
- Apr 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Berk
- Title
- M.D./Owner
- Phone
- (410) 933-6423
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
9199 Reisterstown Rd
Suite 207a
Owings Mills, MD 21117-4520
Mailing address
9199 Reisterstown Rd
Suite 207a
Owings Mills, MD 21117-4520
Phone (410) 654-4525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 094391600 | Medicaid | MD |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D1014089 | Joseph Berk MD | Certificate of waiver | Jun 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
9199 Reisterstown Rd
Ste 207A
Owings Mills, MD 21117
Phone (410) 654-4525
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Owings Mills, MD
- NPI 1760448187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614643200000",
"number": "1104044379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9199 REISTERSTOWN RD",
"address_2": "SUITE 207A",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211174520",
"telephone_number": "410-654-4525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9199 REISTERSTOWN RD",
"address_2": "SUITE 207A",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211174520",
"telephone_number": "410-654-4525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH BERK MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A",
"authorized_official_last_name": "BERK",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "M.D./OWNER",
"authorized_official_telephone_number": "410-933-6423"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "094391600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.