BALA CYNWYD SURGERY CENTER
NPI 1285087106
Clinic/Center - Ambulatory Surgical in Bala Cynwyd, PA

NPI Status: Active since July 15, 2016

Contact Information

100 PRESIDENTIAL BLVD
FOURTH FLOOR
BALA CYNWYD, PA
ZIP 19004
Phone: (781) 261-1860
Fax: (781) 610-9895

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 39D0194801
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 06-09-2026

About BALA CYNWYD SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Bala Cynwyd Surgery Center, a provider established in Bala Cynwyd, Pennsylvania operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1285087106 assigned on July 2016. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Vicki Edelman (Vice President Of Operations)

NPI
1285087106
Provider Name
BALA CYNWYD SURGERY CENTER
Entity Type
Organization
Location Address
100 PRESIDENTIAL BLVD FOURTH FLOOR BALA CYNWYD, PA 19004
Location Phone
(781) 261-1860
Location Fax
(781) 610-9895
Mailing Address
100 PRESIDENTIAL BLVD FOURTH FLOOR BALA CYNWYD, PA 19004
Mailing Phone
(781) 261-1860
Mailing Fax
(781) 610-9895
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-15-2016
Last Update Date
07-15-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

VICKI EDELMAN

Authorized Official Title
VICE PRESIDENT OF OPERATIONS
Authorized Official Phone
(781) 261-1860

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D0194801
Facility Type
Independent
Certificate Effective Date
June 10, 2024
Certificate Expiration Date
June 09, 2026
Laboratory Director
DR. CHARLES F. ORELLANA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bala Cynwyd Surgery Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285087106
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165081410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 0 + 8 + 1 + 4 + 1 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1285087106 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396746178DR. LAURA ROBIN LIPKIN PHD
Individual
Psychologist (Clinical)100 PRESIDENTIAL BLVD SUITE G2
BALA CYNWYD, PA 19004
(610) 664-0448
1255312849MR. PASQUALE COLONNA JR. MSPT
Individual
Specialist100 PRESIDENTIAL BLVD 3RD FLOOR
BALA CYNWYD, PA 19004
(610) 664-2100
1104899038DR. ALFRED C LUCIER M.D.
Individual
Ophthalmology100 PRESIDENTIAL BLVD SUITE 200
BALA CYNWYD, PA 19004
(610) 660-0446
1255304820DR. STEPHEN B LICHTENSTEIN M.D.
Individual
Ophthalmology100 PRESIDENTIAL BLVD SUITE 200
BALA CYNWYD, PA 19004
(484) 434-2700
1144298357MR. JAMES PATRICK MCNULTY PT ATC
Individual
Physical Therapist100 PRESIDENTIAL BLVD
BALA CYNWYD, PA 19004
(610) 668-0904
1508824202MS. MICHELLE SHANNON CALVANI OTR/L
Individual
Occupational Therapist (Hand)100 PRESIDENTIAL BLVD
BALA CYNWYD, PA 19004
(610) 668-0904
1083672687MR. BRIAN THOMAS DIKSA DPT
Individual
Physical Therapist100 PRESIDENTIAL BLVD
BALA CYNWYD, PA 19004
(610) 668-0904
1952359044 MARK GREENWOOD MPT
Individual
Physical Therapist100 PRESIDENTIAL BLVD
BALA CYNWYD, PA 19004
(610) 668-0904
1629026588 ANN MARIE BENNETT-FRANKEL OTR/L
Individual
Occupational Therapist (Hand)100 PRESIDENTIAL BLVD
BALA CYNWYD, PA 19004
(610) 668-0904
1700899440MRS. STEPHANIE MONIQUE BANKS DPT
Individual
Physical Therapist100 PRESIDENTIAL BLVD
BALA CYNWYD, PA 19004
(610) 668-0904
1801908173DR. JEFFREY CHARLES BADO D.O.
Individual
Internal Medicine100 PRESIDENTIAL BLVD SUITE 110
BALA CYNWYD, PA 19004
(610) 667-5350
1184797144 JENNIFER ANITA KANE MPT
Individual
Physical Therapist100 PRESIDENTIAL BLVD
BALA CYNWYD, PA 19004
(610) 668-0904
1750413852DR. KIRK BRANDOW MD
Individual
Specialist100 PRESIDENTIAL BLVD
BALA CYNWYD, PA 19004
(610) 617-7949
1114050127DMA, PC
Organization
Specialist100 PRESIDENTIAL BLVD 3RD FLOOR
BALA CYNWYD, PA 19004
(610) 664-2100
1841263993DR. SYLVIA RUTH BECK M.D.
Individual
Ophthalmology100 PRESIDENTIAL BLVD SUITE 200
BALA CYNWYD, PA 19004
(484) 434-2700
1912970666OPHTHALMIC PARTNERS OF PENNSYLVANIA, PC
Organization
Ophthalmology100 PRESIDENTIAL BLVD SUITE 200
BALA CYNWYD, PA 19004
(484) 434-2700
1801297270 ALYSSA CURRAN DPT
Individual
Physical Therapist100 PRESIDENTIAL BLVD
BALA CYNWYD, PA 19004
(610) 668-0904
1659769388DR. TERRENCE MCHUGH PT, DPT, MS, ATC
Individual
Physical Therapist100 PRESIDENTIAL BLVD
BALA CYNWYD, PA 19004
(610) 668-0904
1376928424 KATHERINE WISOCHANSKI DPT, PT
Individual
Physical Therapist100 PRESIDENTIAL BLVD
BALA CYNWYD, PA 19004
(215) 380-3827
1831447226MS. TARA H HANNINGS MS, ATC, LAT
Individual
Specialist100 PRESIDENTIAL BLVD
BALA CYNWYD, PA 19004
(610) 668-0904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285087106, enumerated in the NPI registry as an "organization" on July 15, 2016

The provider is located at 100 Presidential Blvd Fourth Floor Bala Cynwyd, Pa 19004 and the phone number is (781) 261-1860

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The provider's CLIA number is 39D0194801 for a "independent" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 15, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.