RECAREDO T BERBANO PC


Address: 445 Wyoming Avenue, Kingston, PA 18704
Phone: 5707180520

RECAREDO T BERBANO PC (NPI# 1649491911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649491911
Entity Type Organization
Organization Name RECAREDO T BERBANO PC
Practice Address 445 Wyoming Avenue
Kingston
PA 18704
Practice Telephone 5707180520
Practice Fax Number 5707180522
Mailing Telephone 5707180520
Mailing Fax Number 5707180522
Enumeration Date 2007-05-02
Last Update Date 2008-06-10
Authorized Official Name RECAREDO TRINIDAD BERBANO JR. (MEDICAL DOCTOR OWNER)
Authorized Official Telephone 5707180520
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
MD418104 PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 001887950 05

Office Location

Street Address 445 WYOMING AVENUE
City KINGSTON
State PA
Zip Code 18704

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174598965 Rachel Dela Cruz Canseco-berbano Internal Medicine 445 Wyoming Avenue, Kingston, PA 18704 2006-02-23
1467601732 Aunisha Desai Physician Assistant 445 Wyoming Avenue, Kingston, PA 18704 2008-09-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013557552 Millmark Health Inc. Psychiatry & Neurology 511 Pierce Street, Kingston, PA 18704 2020-01-13
1427550334 Michael Anthony Waltich Military Health Care Provider 82 Cooper Street, Pringle, PA 18704 2018-03-06
1376088435 Jae LLC Massage Therapist 512 Northhampton Street, Edwardsville, PA 18704 2016-12-28
1306278288 Mohammad Khaled Tashkandi Internal Medicine 490 Northampton St Ste 1, Edwardsville, PA 18704 2013-08-02
1396180014 Sammie Craven IIi Pharmacist 96 1st Avenue, Kingston, PA 18704 2013-05-08
1447693114 Catherine Mary Harding Nurse Practitioner 141 South Maple Ave, Kingston, PA 18704 2013-04-12
1861781403 Jennifer Ann Richards Pharmacist 22 West Side Mall, Edwardsville, PA 18704 2011-04-05
1558512772 Jolon Theresa Sherin Speech-Language Pathologist 1825 Sans Souci Highway, Hanover, PA 18704 2008-10-07
1932361102 Kari Ann Pietralczyk Audiologist 190 Welles Street, Forty-fort, PA 18704 2008-06-30
1467584151 John Christopher Storti Chiropractor 180 United Penn Plaza, Kingston, PA 18704 2007-03-09
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083617617 Ayesha Cheema Internal Medicine 368 Broadway, Suite 402, Kingston, NY 12401-5144 2005-05-27
1194235333 Health Quest Medical Practice, PC Internal Medicine 334 Plaza Rd, Kingston, NY 12401-2975 2017-10-02
1659626489 D.k Shah Md PC Internal Medicine 368 Broadway, Medical Arts Building, Suite301, Kingston, NY 12401-5144 2012-07-18
1841477346 Suchee Madhusudan Internal Medicine 27 Grand St, Kingston, NY 12401-3933 2008-01-28
1780709907 Endocrine Specialty Group Inc. Internal Medicine 183 Market St, Kingston, PA 18704-5444 2007-03-20
1376648444 Herbert Fellerman Internal Medicine 183 Market St, Kingston, PA 18704-5444 2006-09-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780219022 Millcreek Community Hospital Internal Medicine 5535 Peach St Fl 1, Erie, PA 16509-2603 2020-03-06
1972133056 Taylor Talasky Internal Medicine 311 Center St Apt 2, Lock Haven, PA 17745-2710 2020-01-17
1316425275 Pinnacle Health Medical Services Internal Medicine 3130 Grandview Rd Ste 2, Hanover, PA 17331-9134 2018-08-02
1841777190 Katelyn S Reisenauer Internal Medicine 240 W 11th St Ste 2, Erie, PA 16501-1758 2018-07-19
1871094623 Adams Endocrinology Associates LLC Internal Medicine 20 Expedition Trl Ste 101, Gettysburg, PA 17325-8599 2018-02-27
1427561075 Diabetes and Endocrinology Consultants of Pennsylvania LLC Internal Medicine 1234 Bridgetown Pike Ste 310, Feasterville Trevose, PA 19053-2208 2017-11-06
1053830646 Langhorne Physician Services Internal Medicine 1205 Langhorne Newtown Rd Ste 302, Langhorne, PA 19047 2017-09-14
1255857538 Mercy Management of Sepa Internal Medicine 1501 Lansdowne Ave Ste 305, Darby, PA 19023-1333 2017-08-17
1912429739 Gateway Medical Specialists, LLC Internal Medicine 795 E Marshall St Ste G2, West Chester, PA 19380-4400 2017-07-13
1801336466 Sabrina Meftali Internal Medicine St. Luke's Center for Diabetes and Endocrinology, 5445 Lanark Road Suite 300, Center Valley, PA 18034 2017-03-01
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Competitor

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City KINGSTON
Zip Code 18704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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