The Pennsylvania Surgery and Laser Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

THE PENNSYLVANIA SURGERY AND LASER CENTER LLC

Practice address

601 Franklin Mills Cir
Philadelphia, PA 19154-3124

Phone

(215) 821-3131

NPI assigned

Jan 6, 2016

Organization subpart

No

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

Authorized official

Name

Heather Rauch, RN

Title

Executive Director

Phone

(215) 821-3131

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

The Pennsylvania Surgery and Laser CenterCCN 39C0001341

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

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Imtiaz M Chaudhry, MD

  • Retina Specialist (Ophthalmology) Physician
  • Bensalem, PA
  • NPI 1750550091
  NPD
• Uzma Chaudhry, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Trenton, NJ
  • NPI 1013320936
  NPD
• Aaila Chaudhry, M.D.

  • Ophthalmology Physician
  • Bensalem, PA
  • NPI 1902004674
  NPD (past)
• Iftikhar M Chaudhry, MD

  • Ophthalmology Physician
  • Bensalem, PA
  • NPI 1700874740
  NPD (past)
• Aisha S Chaudhry, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hamilton, NJ
  • NPI 1326294471
  NPD (past)

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1154787117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190200098",
            "telephone_number": "215-272-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FRANKLIN MILLS CIR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191543124",
            "telephone_number": "215-821-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PENNSYLVANIA SURGERY AND LASER CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "RAUCH",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-821-3131",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Pediatric & Adolescent Medicine Centers of Philadelphia
• The Pennsylvania Hospital of the University of Pennsylvania Health Sys
• The Pennsylvania Hospital of the University of Pennsylvania Health Sys
• The Pennsylvania Hospital of the University of Pennsylvania Health Sys
• The Pennsylvania Hospital of the University of Pennsylvania Health Sys
• The People for People Charter School
• The Philadelphia Hand Center, PC
• The Philadelphia Hand Center, PC
• The Philadelphia Hand Center, PC
• The Philadelphia Nursing Home

• Ambulatory Surgical Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, 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 Apr 21, 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.