Ambulatory Endoscopic Surgical Center of Bucks County LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

39C0001163 Issued in PA

Legal business name

AMBULATORY ENDOSCOPIC SURGICAL CENTER OF BUCKS COUNTY LLC

Practice address

301 Oxford Valley Rd
Suite 804
Yardley, PA 19067

Phone

(215) 321-4700

Fax

(215) 321-9008

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Andrew T Fanelli, DO

Title

Medical Director

Phone

(215) 321-4700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1467535773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 OXFORD VALLEY RD",
            "address_2": "SUITE 804",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "19067",
            "telephone_number": "215-321-4700",
            "fax_number": "215-321-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OXFORD VALLEY RD",
            "address_2": "SUITE 804",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "19067",
            "telephone_number": "215-321-4700",
            "fax_number": "215-321-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY ENDOSCOPIC SURGICAL CENTER OF BUCKS COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "FANELLI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "215-321-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "39C0001163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Yardley, PA
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.