Easton Ambulatory Services Associates

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

07411500 Issued in PA

Legal business name

EASTON AMBULATORY SERVICES ASSOCIATES

Practice address

3729 Easton Nazareth Hwy
Easton, PA 18045-8344

Phone

(610) 559-7110

Fax

(610) 559-8257

NPI assigned

Mar 28, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Melissa Kline

Title

Administrator

Phone

(610) 559-7110

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Northwood Surgery Center Doing business as

Listed as

Easton Ambulatory Services Associate Dba Northwood Surgery CenterCCN 39C0001055

Medicare certification status

Terminated Voluntary: other reason for withdrawal, Feb 1, 2025From the Provider of Services file

Practitioners 2

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

• Atul K Amin, MD

  • Specialist
  • Easton, PA
  • NPI 1982706784
  NPD
• Concetta M Vivian, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Allentown, PA
  • NPI 1043271372
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1184684573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3729 EASTON NAZARETH HWY",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180458344",
            "telephone_number": "610-559-7110",
            "fax_number": "610-559-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3729 EASTON NAZARETH HWY",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180458344",
            "telephone_number": "610-559-7110",
            "fax_number": "610-559-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTON AMBULATORY SERVICES ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "610-559-7110",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "07411500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5355002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015591530003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwood Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northwood Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark A Durback, MD
• Lora Maria Durigan, RPH
• Nancy F Dy, RN
• Victor C Dy, MD
• Eastern Pennsylvania Imaging Consultants, PC
• Easton Area School District
• Easton Bright Smiles PC
• Easton Cardiovascular Associates, PC
• Easton Chemists Inc
• Easton Chiropractic & Wellness, P.C.

• Ambulatory Surgical Clinic/Center in Easton, PA
• Providers in Easton, 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 Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.