Main Line Reproductive Surgery Center PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MAIN LINE REPRODUCTIVE SURGERY CENTER PC

Practice address

825 Old Lancaster Rd Ste 170
Bryn Mawr, PA 19010-3234

Phone

(610) 527-0800

NPI assigned

Jul 22, 2022

Organization subpart

No

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

Authorized official

Name

Lisa Pearson

Title

Revenue Cycle Manager

Phone

(484) 645-9700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1194450148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 LOOP CENTRAL DR STE 900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770812220",
            "telephone_number": "484-645-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 OLD LANCASTER RD STE 170",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103234",
            "telephone_number": "610-527-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE REPRODUCTIVE SURGERY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-22",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "484-645-9700"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Main Line Psychological Resources, LLC
• Dewan Syed Safwan Majid, M.D.
• Toluwalope Akinade Makinde, MD
• Malamut & Moss PC
• Barbara Malamut, PH.D
• Mark Malczynski

• Ambulatory Surgical Clinic/Center in Bryn Mawr, PA
• Providers in Bryn Mawr, 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 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.