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BERKS PLASTIC SURGERY INSTITUTE PC
NPI 1679695589
Plastic Surgery in Wyomissing, PA

Active since April 04, 2007CLIA 39D2021224 · Certificate of Compliance
50 COMMERCE DR, WYOMISSING, PA 19610(610) 320-0200(610) 320-9962 Get Directions Write a Review

NPPES record last updated: May 16, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Berks Plastic Surgery Institute Pc NPPES

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

BERKS PLASTIC SURGERY INSTITUTE PC (NPI 1679695589) is a healthcare organization registered as a plastic surgery in Wyomissing, Pennsylvania and active in the NPI registry since April 2007. The organization holds a CLIA Certificate of Compliance certificate valid through June 12, 2027 and lists Cindy Mountz, Billing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1679695589
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameBERKS PLASTIC SURGERY INSTITUTE PC
Location Address50 COMMERCE DRWyomissing, PA 19610-3335
Mailing Address50 Commerce DrWyomissing, PA 19610-3335 · (610) 320-0200 · Fax (610) 320-9962
Phone(610) 320-0200
Fax(610) 320-9962
Organization SubpartNo
Authorized OfficialCindy MountzBilling Coordinator · (610) 288-9965
Enumeration DateApril 4, 2007
Last NPPES UpdateMay 16, 2014
✔ NPI 1679695589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
50 COMMERCE DR, Wyomissing, PA 19610
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Other Identifiers 1

Medicare ID-Type Unspecified019757PA

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 39D2021224

Berks Plastic Surgery Institute, PC · Wyomissing, PA
Active · expires Jun 12, 2027
CLIA Number39D2021224
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorDr. Shashi M. Ariyanayagam-Baksh
Laboratory Phone(610) 320-0200
Laboratory LocationBerks Plastic Surgery Institute, PC50 Commerce Drive, Wyomissing, PA 19610
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

EMMA MARGARET SMITH
Behavior Technician
50 COMMERCE DR
WYOMISSING, PA 19610
Berks County (484) 965-9966
JESSICA CHRISTINE CONFER
Behavior Technician
50 COMMERCE DR
WYOMISSING, PA 19610
Berks County (484) 965-9966
MEGAN C FITZPATRICK
Behavior Technician
50 COMMERCE DR
WYOMISSING, PA 19610
Berks County (484) 965-9966
MELISSA LOPEZ
Behavior Technician
50 COMMERCE DR
WYOMISSING, PA 19610
Berks County (484) 965-9966
ELIZABETH M LEFEVER
Behavior Technician
50 COMMERCE DR
WYOMISSING, PA 19610
Berks County (484) 965-9966
BARBARA WHITMAN
Behavior Technician
50 COMMERCE DR
WYOMISSING, PA 19610
Berks County (484) 965-9966
MADISON BONNIELEE FREDERICKSEN
Behavior Technician
50 COMMERCE DR
WYOMISSING, PA 19610
Berks County (484) 393-4107
ADIANA L RIVERA
Behavior Technician
50 COMMERCE DR
WYOMISSING, PA 19610
Berks County (484) 965-9966

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 Berks Plastic Surgery Institute PC's NPI number?

The NPI number for Berks Plastic Surgery Institute PC is 1679695589. It was assigned to this organization in the NPPES registry on April 4, 2007.

Where is Berks Plastic Surgery Institute PC located?

Berks Plastic Surgery Institute PC is located at 50 Commerce Dr, Wyomissing, PA 19610. The listed phone number is (610) 320-0200.

What is Berks Plastic Surgery Institute PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Does Berks Plastic Surgery Institute PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 39D2021224) is associated with this NPI, valid through June 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Berks Plastic Surgery Institute PC was last updated on May 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.