Fertility Partners of Pennsylvania Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FERTILITY PARTNERS OF PENNSYLVANIA SURGERY CENTER, LLC

Practice address

735 Chesterbrook Blvd
Suite 110
Chesterbrook, PA 19087-5638

Phone

(610) 981-6000

Fax

(855) 437-5785

NPI assigned

Mar 22, 2016

Last updated

Apr 28, 2023By 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

Vicki Gerber

Title

Executive Managing Director

Phone

(301) 545-1248

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497117113. Details of each certification follow.

• CCN 39C0001330 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 39C0001330

Legal name

Fertility Partners of Pennsylvania Surgery Center LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Nov 17, 2017

Last certification

Jun 30, 2021

Ownership / control type

Proprietary

Facility address

735 Chesterbrook Blvd Suite 110
Chesterbrook, PA 19087

Locations

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1497117113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 BLACKWELL ROAD",
            "address_2": "SUITE 500",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503783",
            "telephone_number": "301-340-1188",
            "fax_number": "855-716-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 CHESTERBROOK BLVD",
            "address_2": "SUITE 110",
            "city": "CHESTERBROOK",
            "state": "PA",
            "postal_code": "190875638",
            "telephone_number": "610-981-6000",
            "fax_number": "855-437-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERTILITY PARTNERS OF PENNSYLVANIA SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "GERBER",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "EXECUTIVE MANAGING DIRECTOR",
        "authorized_official_telephone_number": "301-545-1248"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Chesterbrook, PA
• Providers in Chesterbrook, 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 Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.