Philadelphia Surgery Center, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PHILADELPHIA SURGERY CENTER, INC.

Practice address

124 N Narberth Ave
Narberth, PA 19072-2211

Phone

(484) 270-8474

Fax

(484) 270-8456

NPI assigned

Jan 21, 2013

Last updated

Jan 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Irina Bogacheva, MBA, PHD

Title

Administratror

Phone

(310) 663-6049

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

Philadelphia Surgery CenterCCN 39C0001355

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Miteswar Purewal, MD

  • Pain Medicine (Anesthesiology) Physician
  • Havertown, PA
  • NPI 1750320461
  NPD (past)

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358726400000",
    "number": "1265770572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 S ROBERTSON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351602",
            "telephone_number": "484-270-8474",
            "fax_number": "484-270-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N NARBERTH AVE",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190722211",
            "telephone_number": "484-270-8474",
            "fax_number": "484-270-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-01-21",
        "status": "A",
        "authorized_official_last_name": "BOGACHEVA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "ADMINISTRATROR",
        "authorized_official_telephone_number": "310-663-6049",
        "authorized_official_credential": "MBA, PHD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Ordiner, C.R.N.P.
• Maria Theresa Pacifico
• Patient Comfort Services
• Samantha Pedersen, OTR/L
• Erin Peters
• Benoy Philip
• Robert Michael Pileggi, M.S.S., L.C.S.W.
• Ed Popielarski, RPH
• Present Sage Acupuncture Inc (The Present Sage Acupuncture)
• Eliyahu Press, LMSW

• Ambulatory Surgical Clinic/Center in Narberth, PA
• Providers in Narberth, 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 Jan 21, 2013; 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.