NPIMap

Organization Active NPI

Berks Dermatology PC

  • Dermatopathology Physician
  • West Lawn, PA
National Provider Identifier
1972597920
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
Legal business name
BERKS DERMATOLOGY PC
Practice address
2208 Quarry Dr
Suite 206
West Lawn, PA 19609-1158
Phone
(610) 927-3880
Fax
(610) 927-0787
NPI assigned
Sep 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. George Edward Ainsworth Jr., M.D.
Title
President
Phone
(610) 927-3880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0900X Primary

Addresses

Primary practice location

2208 Quarry Dr
Suite 206
West Lawn, PA 19609-1158

Mailing address

2208 Quarry Dr
Suite 206
West Lawn, PA 19609-1158
Phone (610) 927-3880

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972597920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 QUARRY DR",
            "address_2": "SUITE 206",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091158",
            "telephone_number": "610-927-3880",
            "fax_number": "610-927-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 QUARRY DR",
            "address_2": "SUITE 206",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091158",
            "telephone_number": "610-927-3880",
            "fax_number": "610-927-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKS DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AINSWORTH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-927-3880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lawn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.