Main Line Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

10321500 Issued in PA

Legal business name

MAIN LINE SURGERY CENTER, LLC

Practice address

10 Presidential Blvd
Suite 200
Bala Cynwyd, PA 19004-1107

Phone

(610) 660-9066

Fax

(610) 949-9069

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Anne Barrett Sternberg

Title

Administrator

Phone

(610) 660-8437

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

Main Line Surgery Center LLCCCN 39C0001070

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 2

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

• Richard Tipperman, M.D.

  • Ophthalmology Physician
  • Bala Cynwyd, PA
  • NPI 1730153024
  NPD
• Michael J Pro, MD

  • Ophthalmology Physician
  • Bala Cynwyd, PA
  • NPI 1639137524
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1184678682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PRESIDENTIAL BLVD",
            "address_2": "SUITE 200",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041107",
            "telephone_number": "610-660-9066",
            "fax_number": "610-949-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PRESIDENTIAL BLVD",
            "address_2": "SUITE 200",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041107",
            "telephone_number": "610-660-9066",
            "fax_number": "610-949-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "STERNBERG",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "BARRETT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "610-660-8437",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "10321500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Mahoney
• Main Line Anxiety and Ocd Center
• Main Line Family Eye Care
• Main Line Integrative Psychiatry
• Main Line PA Endoscopy ASC LP (Main Line Endoscopy Center Bala Cynwyd)
• Main Line Surgical Center LLC
• Mainline Health Associates
• Mainline Health Associates
• Mainline Vein and Wound Care Center LLC
• Michael James Mandarino Jr., M.D.

• Ambulatory Surgical Clinic/Center in Bala Cynwyd, PA
• Providers in Bala Cynwyd, 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 16, 2024; 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.