Individual provider Active NPI

Joel Abram Piser, MD

  • Pediatric Urology Physician
  • Berkeley, CA
National Provider Identifier
1275600850
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
A43674 Issued in CA
Practice address
2999 Regent St Ste 612
Berkeley, CA 94705-2121
Phone
(510) 848-1727
Fax
(510) 848-8224
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X A43674 CA Primary

Addresses

Primary practice location

2999 Regent St Ste 612
Berkeley, CA 94705-2121

Mailing address

2999 Regent St
#612
Berkeley, CA 94705-2146
Phone (510) 848-1727

Other identifiers 1

IdentifierTypeStateIssuer
YYY49005YMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090317000357 CA Practitioner - Urology 1759448855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A43674CAMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berkeley Urological Associates a Medical Group Inc. Fka Lyon Pediatric Urology PastSince Jan 1, 2008 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1275600850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST",
            "address_2": "#612",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052146",
            "telephone_number": "510-848-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST STE 612",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052121",
            "telephone_number": "510-848-1727",
            "fax_number": "510-848-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISER",
        "first_name": "JOEL",
        "middle_name": "ABRAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "CA",
            "license": "A43674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "YYY49005Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.