Sally K Balin Ambulatory Surgical Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

09421500 Issued in PA

Legal business name

SALLY K BALIN AMBULATORY SURGICAL CENTER INC

Practice address

110 Chesley Dr
Media, PA 19063-1755

Phone

(610) 892-0300

Fax

(610) 565-9909

NPI assigned

Aug 15, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Loretta Pratt, MD

Title

Administrator

Phone

(610) 565-3300

Specialties & licenses 1

Addresses

Listed as

The Sally Balin Ambulatory Surgical CenterCCN 39C0001073

Medicare certification status

Terminated Voluntary: merger or closure, May 31, 2025From the Provider of Services file

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328918400000",
    "number": "1265434740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CHESLEY DR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631755",
            "telephone_number": "610-892-0300",
            "fax_number": "610-565-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CHESLEY DR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631755",
            "telephone_number": "610-892-0300",
            "fax_number": "610-565-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY K BALIN AMBULATORY SURGICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2012-02-11",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "610-565-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "09421500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Rykaczewski, MS, RDN, LDN
• Sadi PA, P.C.
• Abdul Safi, MD
• David K Saland, MD
• Melissa Gisselle Salazar Parra
• Jeanette Kathleen Salvey
• Patricia M Salvitti, D.C.
• Shea Sample, BCBA
• Christina Marie Samyan, MSW, LCSW
• Raul Sanchez

• Ambulatory Surgical Clinic/Center in Media, PA
• Providers in Media, 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 Feb 11, 2012; 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.