Active NPI
Berkshire Allergy & Asthma Center, Inc
- Allergy Physician
- Wyomissing, PA
National Provider Identifier
1245231893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- MD034450E
- Legal business name
- BERKSHIRE ALLERGY & ASTHMA CENTER, INC
- Practice address
- 2210 Ridgewood Rd
Suite 100
Wyomissing, PA 19610-1167 - Phone
- (610) 372-0502
- Fax
- (610) 372-9554
- NPI assigned
- Aug 4, 2005
- Last updated
- Aug 10, 2010
- 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
- Dr. Edward W. Hein, M.D.
- Title
- President
- Phone
- (610) 372-0502
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | MD034450E | PA | Primary |
Addresses
Primary practice location
2210 Ridgewood Rd
Suite 100
Wyomissing, PA 19610-1167
Mailing address
2210 Ridgewood Rd
Suite 100
Wyomissing, PA 19610-1167
Phone (610) 372-0502
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116364 | Other | PA | AETNA |
| 01016373 | Medicaid | PA | |
| 02335300 | Other | PA | CAPITAL BLUE CROSS |
| 707900 | Other | PA | HIGHMARK BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Allergy Physician
- Wyomissing, PA
- NPI 1760416085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281398400000",
"number": "1245231893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 RIDGEWOOD RD",
"address_2": "SUITE 100",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196101167",
"telephone_number": "610-372-0502",
"fax_number": "610-372-9554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 RIDGEWOOD RD",
"address_2": "SUITE 100",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196101167",
"telephone_number": "610-372-0502",
"fax_number": "610-372-9554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERKSHIRE ALLERGY & ASTHMA CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-04",
"last_updated": "2010-08-10",
"status": "A",
"authorized_official_last_name": "HEIN",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-372-0502",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "PA",
"license": "MD034450E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "116364",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01016373",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02335300",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "707900",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.