NPIMap

Organization Active NPI

Rachel C Canseco-Berbano, P.C.

  • Specialist
  • Kingston, PA
National Provider Identifier
1912057142
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RACHEL C CANSECO-BERBANO, P.C.
Practice address
445 Wyoming Ave
Kingston, PA 18704-3601
Phone
(570) 718-0505
Fax
(570) 718-0522
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Dr. Rachel Canseco Berbano, M.D.
Title
Owner
Phone
(570) 718-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

445 Wyoming Ave
Kingston, PA 18704-3601

Mailing address

445 Wyoming Ave
Kingston, PA 18704-3601
Phone (570) 718-0505

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1912057142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043601",
            "telephone_number": "570-718-0505",
            "fax_number": "570-718-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043601",
            "telephone_number": "570-718-0505",
            "fax_number": "570-718-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL C CANSECO-BERBANO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "BERBANO",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "CANSECO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-718-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.