Einstein Medical Center Montgomery

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EINSTEIN MEDICAL CENTER MONTGOMERY

Doing business as

Einstein Endoscopy Center - Blue Bell

Practice address

676 Dekalb Pike Ste 100
Blue Bell, PA 19422-1223

Phone

(610) 233-3177

NPI assigned

Jan 16, 2018

Organization subpart

Yes

Parent organization

EINSTEIN MEDICAL CENTER MONTGOMERYAs reported in NPPES

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

Authorized official

Name

Walter Gordon Wyatt

Title

Assoc VP of Finance

Phone

(215) 254-3254

Specialties & licenses 1

Addresses

Other names 1

• Einstein Endoscopy Center - Blue Bell Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Ambulatory surgical center certification: CCN 39C0001350

Legal name

EINSTEIN ENDOSCOPY CENTER - BLUE BELL

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Oct 10, 2019

Last certification

Sep 10, 2019

Ownership / control type

Non-Profit

Facility address

676 Dekalb Pike Suite 100
Blue Bell, PA 19422

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Einstein Medical Center Montgomery

  • General Acute Care Hospital
  • East Norriton, PA
  • NPI 1104192590

  3971768482

  Same PAC ID

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

CLIA laboratory certificates

Tax ID family

Einstein Med Ctr Montgomery3 organizations share this tax ID, including this one

Part of

Einstein Med Ctr Montgomery

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Einstein Medical Center Montgomery

  • General Acute Care Hospital
  • East Norriton, PA
  • NPI 1104192590
  NPD tax ID
• Einstein Medical Center Montgomery

  dba Einstein Montgomery - Nurse Family Partnership

  • Registered Nurse
  • East Norriton, PA
  • NPI 1356814404
  NPD tax ID

Locations

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1114435856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK ROAD",
            "address_2": "CORPORATE ACCOUNTING, F & O BUILDING, 2ND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413018",
            "telephone_number": "215-254-3255",
            "fax_number": "215-456-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 DEKALB PIKE STE 100",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221223",
            "telephone_number": "610-233-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EINSTEIN MEDICAL CENTER MONTGOMERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EINSTEIN MEDICAL CENTER MONTGOMERY",
        "enumeration_date": "2018-01-16",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "ASSOC VP OF FINANCE",
        "authorized_official_telephone_number": "215-254-3254"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Einstein Endoscopy Center - Blue Bell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eleanor Sue-Ann Dukes, LMT
• Eagle Health Care LLC
• East Norriton Physicians Services (Mercy Women's Health Care)
• East Norriton Physicians Services (Blue Bell Family Medicine)
• Easy Social Services
• Kenneth J Eisenstock, RPH
• Elite2Serve Healthcare Solutions LLC Dba Elite2Serve Community Transitional Services
• Denice Elliott-Heim
• Latifah Elliott, LPN
• Emergency Medicine of Ihpil LTD

• Ambulatory Surgical Clinic/Center in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.