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NONE
NPI 1376693580
Specialist in Kingston, PA

Active since January 11, 2007
445 WYOMING AVE, KINGSTON, PA 18704(570) 718-0520(570) 718-0522 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About None NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NONE (NPI 1376693580) is a healthcare organization registered as a specialist in Kingston, Pennsylvania and active in the NPI registry since January 2007. The organization lists Recaredo Trinidad Berbano, Owner, as its authorized official.

NPPES Registry Identity

NPI1376693580
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameRECAREDO T. BERBANO, M.D.,P.C.
Location Address445 WYOMING AVEKingston, PA 18704-3601
Mailing Address445 Wyoming AveKingston, PA 18704-3601 · (570) 718-0520 · Fax (570) 718-0522
Phone(570) 718-0520
Fax(570) 718-0522
Organization SubpartNo
Authorized OfficialRecaredo Trinidad BerbanoOwner · (570) 718-0520
Enumeration DateJanuary 11, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1376693580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in PA · MD418103
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
445 WYOMING AVE, Kingston, PA 18704
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE ANN KANE
Nurse Practitioner (Family)
445 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 718-0520
ALYSHA DAVIS PA-C
Physician Assistant
445 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 718-0520
MARK S POLIN MD
Obstetrics & Gynecology
445 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 714-2300
MARK S. POLIN, MD
Obstetrics & Gynecology
445 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 714-2300
RACHEL C CANSECO-BERBANO, P.C.
Specialist
445 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 718-0505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Recaredo T. Berbano, M.D.,p.C.'s NPI number?

The NPI number for Recaredo T. Berbano, M.D.,p.C. is 1376693580. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is Recaredo T. Berbano, M.D.,p.C. located?

Recaredo T. Berbano, M.D.,p.C. is located at 445 Wyoming Ave, Kingston, PA 18704. The listed phone number is (570) 718-0520.

What is Recaredo T. Berbano, M.D.,p.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Recaredo T. Berbano, M.D.,p.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.