JEFFERSON AMBULATORY SURGERY SERVICES LLC NPI 1972977627

NPI Information

  • NPI: 1972977627
  • Provider Name: JEFFERSON AMBULATORY SURGERY SERVICES, LLC
  • Classification: Clinic/Center - 261QE0800X
  • Specialization: Endoscopy
  • Entity Type: Organization
  • Doing Business As: JEFFESON ENDOSCOPY CENTER AT BALA
  • CLIA Number: 39D1083751
  • Address: 130 PRESIDENTIAL BLVD
    BALA CYNWYD, PA
    ZIP 19004
  • Phone: (615) 397-9187

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NPI Details

JEFFERSON AMBULATORY SURGERY SERVICES, LLC is an endoscopy clinic center in Bala Cynwyd, PA. JEFFERSON AMBULATORY SURGERY SERVICES, LLC NPI is 1972977627. The provider is registered as an organization entity type.
The provider Is Doing Business As Jeffeson Endoscopy Center At Bala.

The provider's business location address is:

130 PRESIDENTIAL BLVD
BALA CYNWYD, PA
ZIP 19004-110
Phone: (615) 397-9187

The provider's authorized official is Richard Webster .
The authorized official title is President and has the following contact phone number (215) 955-7937.

The CLIA number assigned to this NPI record is 39D1083751 - hospital with a certificate type of Certificate of Accreditation.

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.

  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)

The enumeration date for this NPI number is 11/18/2015 and was last updated on 10/4/2022.

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
1261QE0800XClinic/CenterEndoscopyPENNSYLVANIAYes

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: 11/21/2025

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