Jefferson Ambulatory Surgery Services, LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

JEFFERSON AMBULATORY SURGERY SERVICES, LLC

Doing business as

Jefferson Surgery Center - Torresdale

Practice address

3998 Red Lion Rd Ste 242
Philadelphia, PA 19114-1441

Phone

(215) 341-1944

NPI assigned

May 7, 2024

Last updated

Aug 26, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

JEFFERSON AMBULATORY SURGERY SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

William Gavigan

Title

Management Member

Phone

(615) 397-9187

Specialties & licenses 1

Addresses

Other names 1

• Jefferson Surgery Center - Torresdale Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629826698. Details of each certification follow.

• CCN 39C0001398 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 39C0001398

Legal name

JEFFERSON SURGERY CENTER TORRESDALE

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Aug 19, 2025

Last certification

Aug 19, 2025

Facility address

3998 Red Lion Road
Philadelphia, PA 19114

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Jefferson Ambulatory Surgery Services, LLC

  dba Jefferson Surgery Center - Langhorne

  • Endoscopy Clinic/Center
  • Langhorne, PA
  • NPI 1881319515

  8527365451

  Same PAC ID
• Jefferson Ambulatory Surgery Services, LLC

  dba Jeffeson Endoscopy Center at Bala

  • Endoscopy Clinic/Center
  • Bala Cynwyd, PA
  • NPI 1972977627

  8527365451

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Jefferson Ambulatory Surgery Services LLC3 organizations share this tax ID, including this one

Part of

Jefferson Ambulatory Surgery Services LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Jefferson Ambulatory Surgery Services, LLC

  dba Jefferson Surgery Center - Langhorne

  • Endoscopy Clinic/Center
  • Langhorne, PA
  • NPI 1881319515
  NPD tax ID
• Jefferson Ambulatory Surgery Services, LLC

  dba Jeffeson Endoscopy Center at Bala

  • Endoscopy Clinic/Center
  • Bala Cynwyd, PA
  • NPI 1972977627
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Thomas Jefferson University Hospitals Inc

  • Psychiatric Hospital Unit
  • Philadelphia, PA
  • NPI 1124038799

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1629826698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 KNIGHTS RD STE 242",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191144200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 RED LION RD STE 242",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141441",
            "telephone_number": "215-341-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON AMBULATORY SURGERY SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEFFERSON AMBULATORY SURGERY SERVICES, LLC",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "GAVIGAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGEMENT MEMBER",
        "authorized_official_telephone_number": "615-397-9187"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Surgery Center - Torresdale",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jefferson Surgery Center - Torresdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shanaye Jeffers, M.D.
• Jefferson Acute Care Physicians, PC (Jefferson Urgent Care)
• Jefferson Acute Care Physicians, PC
• Jefferson Acute Care Physicians, PC (Jefferson Urgent Care)
• Jefferson Acute Care Physicians, PC (Jefferson Urgent Care)
• Jefferson Community Physicians
• Jefferson Family Care
• Jefferson Headache Center
• Jefferson Headache Center
• Jefferson Health - Northeast

• Endoscopy Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Endoscopy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.
• 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.