ACADEMIC UROLOGY OF PA LLC NPI 1336439645

NPI Information

  • NPI: 1336439645
  • Provider Name: ACADEMIC UROLOGY OF PA, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 919 CONESTOGA RD
    BUILDING 1 SUITE 300
    BRYN MAWR, PA
    ZIP 19010
  • Phone: (610) 525-6580

Map and Directions

Get Directions

NPI Details

ACADEMIC UROLOGY OF PA, LLC is an ambulatory surgical clinic center in Bryn Mawr, PA. ACADEMIC UROLOGY OF PA, LLC NPI is 1336439645. The provider is registered as an organization entity type.

The provider's business location address is:

919 CONESTOGA RD
BUILDING 1 SUITE 300
BRYN MAWR, PA
ZIP 19010-352
Phone: (610) 525-6580
Fax: (610) 525-3664

The provider's authorized official is David J Ellis .
The authorized official title is President and has the following contact phone number (610) 382-5910.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, onabotulinumtoxina, 1 unit (HCPCS:J0585)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Ultrasound scan of pelvic region through rectum (HCPCS:76872)
  • Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope (HCPCS:52310)
  • Biopsy of prostate gland (HCPCS:55700)
  • Exam with injections of chemical for destruction of bladder using an endoscope (HCPCS:52287)
  • Dilation of urethra using an endoscope (HCPCS:52281)
  • Insertion of sacral nerve neurostimulator electrode array (HCPCS:64561)
  • Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants (HCPCS:C9740)
  • Biopsy of bladder using an endoscope (HCPCS:52204)
  • Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm (HCPCS:52224)
  • Irrigation and removal of multiple blood clots from bladder and urethra using an endoscope (HCPCS:52001)

The enumeration date for this NPI number is 4/8/2011 and was last updated on 4/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical50421501PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.