Organization Active NPI

Joseph Berk MD PA

  • Pediatrics Physician
  • Owings Mills, MD
National Provider Identifier
1104044379
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Mar 2, 2021

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

Authorized official

Name
Joseph BerkNPI 1760448187
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
094391600MedicaidMD

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D1014089Joseph Berk MD9199 Reisterstown Road 207a, Owings Mills, MD 21117Certificate of waiverJun 24, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.