Active NPI
Berks Plastic Surgery Institute PC
- Plastic Surgery Physician
- Wyomissing, PA
National Provider Identifier
1679695589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- BERKS PLASTIC SURGERY INSTITUTE PC
- Practice address
- 50 Commerce Dr
Wyomissing, PA 19610-3335 - Phone
- (610) 320-0200
- Fax
- (610) 320-9962
- NPI assigned
- Apr 4, 2007
- Last updated
- May 16, 2014
- 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
- Cindy Mountz
- Title
- Billing Coordinator
- Phone
- (610) 288-9965
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | PA | Primary |
Addresses
Primary practice location
50 Commerce Dr
Wyomissing, PA 19610-3335
Mailing address
50 Commerce Dr
Wyomissing, PA 19610-3335
Phone (610) 320-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
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 |
|---|---|---|---|
| 39D2021224 | Berks Plastic Surgery Institute, PC | Compliance | Jun 12, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 9
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.
-
- Plastic and Reconstructive Surgery Physician
- Wyomissing, PA
- NPI 1730389206
-
- Plastic Surgery Physician
- Wyomissing, PA
- NPI 1215080189
-
- Anatomic Pathology & Clinical Pathology Physician
- Lancaster, PA
- NPI 1740253665
-
- Anatomic Pathology & Clinical Pathology Physician
- Lancaster, PA
- NPI 1588637664
-
- Family Medicine Physician
- Lebanon, PA
- NPI 1033693031
-
- Family Nurse Practitioner
- Wyomissing, PA
- NPI 1841885209
-
- Physician Assistant
- Springfield, PA
- NPI 1508465840
-
- Surgery Physician
- Idaho Falls, ID
- NPI 1477800134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400198400000",
"number": "1679695589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 COMMERCE DR",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196103335",
"telephone_number": "610-320-0200",
"fax_number": "610-320-9962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 COMMERCE DR",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196103335",
"telephone_number": "610-320-0200",
"fax_number": "610-320-9962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERKS PLASTIC SURGERY INSTITUTE PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-04",
"last_updated": "2014-05-16",
"status": "A",
"authorized_official_last_name": "MOUNTZ",
"authorized_official_first_name": "CINDY",
"authorized_official_title_or_position": "BILLING COORDINATOR",
"authorized_official_telephone_number": "610-288-9965"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 May 16, 2014; 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.