The Ambulatory Surgery Center at St. Mary, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

THE AMBULATORY SURGERY CENTER AT ST. MARY, LLC

Practice address

1203 Langhorne Newtown Rd
Langhorne, PA 19047-1209

Phone

(215) 710-7028

NPI assigned

Dec 7, 2010

Organization subpart

No

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

Authorized official

Name

Mark Nessel

Title

Board Member

Phone

(215) 710-7028

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

The Ambulatory Surgery Center at St Mary LLCCCN 39C0001284

Medicare certification status

Terminated Voluntary: merger or closure, Aug 1, 2021From the Provider of Services file

Listed as

The Ambulatory Surgery Center at St Mary LLCCCN 39C0001289

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• St Mary Medical Center

  dba Mother Bachmann Maternity Center

  • Obstetrics & Gynecology Physician
  • Bensalem, PA
  • NPI 1548491582

  Member Of

  NPD member

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1154624526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 LANGHORNE NEWTOWN RD",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471209",
            "telephone_number": "215-710-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 LANGHORNE NEWTOWN RD",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471209",
            "telephone_number": "215-710-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AMBULATORY SURGERY CENTER AT ST. MARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "NESSEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "215-710-7028"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Terzakis, CRNP
• Maureen Tessler, PA-C
• Katherine Thackray
• Palak Paresh Thakore, DO
• Arun Sobti Thakur, M.D.
• The Gastroenterology Group, P.a.
• The Giant Company, LLC (Giant Pharmacy #6517)
• The Woods School
• Cynthia Urban Thee, LSW
• Maya R Therattil, MD

• Ambulatory Surgical Clinic/Center in Langhorne, PA
• Providers in Langhorne, 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 Dec 7, 2010; 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.