The Endoscopy Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

THE ENDOSCOPY CENTER LLC

Practice address

817 Lawn Ave
Sellersville, PA 18960-1549

Phone

(215) 453-3050

Fax

(215) 453-3055

NPI assigned

Oct 12, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Christopher Robert Phifer, RN

Title

Director/Ceo

Phone

(215) 453-3050

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

The Endoscopy Center LLCCCN 39C0001152

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jong Hyun Nam, M.D.

  • Gastroenterology Physician
  • Lansdale, PA
  • NPI 1205805843
  Medicare reassignment NPD
• Elizabeth A Sun, M.D.

  • Specialist
  • Lansdale, PA
  • NPI 1023087285
  Medicare reassignment NPD
• John J O'Connor, D.O.

  • Specialist
  • Sellersville, PA
  • NPI 1649249806
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023006079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 LAWN AVE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601549",
            "telephone_number": "215-453-3050",
            "fax_number": "215-453-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 LAWN AVE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601549",
            "telephone_number": "215-453-3050",
            "fax_number": "215-453-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHIFER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "215-453-3050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009038280001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savannah Danielle Taranto
• Donna L Taylor, LPN
• Lori L Taylor
• Ashley Teitelman, B.S.
• The Community at Rockhill
• The Rehabilitation Group of Bucks Montgomery County
• Karen Thiele, CPNP
• Thiraj LLC (Sellersville Pharmacy)
• Krystal M. Thomas, PA-C
• Meghan Thomas

• Clinic/Center in Sellersville, PA
• Providers in Sellersville, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.