Organization Active NPI

Foundation Surgery Affiliate of Huntingdon Valley LP

  • Ambulatory Surgical Clinic/Center
  • Huntingdon Valley, PA
National Provider Identifier
1669465209
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
17131501 Issued in PA
Legal business name
FOUNDATION SURGERY AFFILIATE OF HUNTINGDON VALLEY LP
Practice address
1800 Byberry Road
Building 10
Huntingdon Valley, PA 19006
Phone
(215) 914-4600
Fax
(215) 947-8376
NPI assigned
Aug 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Ashley Verbitsky
Title
Ceo
Phone
(215) 914-4602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 17131501 PA Primary

Addresses

Primary practice location

1800 Byberry Road
Building 10
Huntingdon Valley, PA 19006

Mailing address

1800 Byberry Rd BLDG 10
Huntingdon Valley, PA 19006-3522
Phone (159) 144-6022

Other identifiers 2

IdentifierTypeStateIssuer
0001397000OtherPAID # FOR BLUE CROSS
1008872050001MedicaidPA

Other names 1

  • Huntingdon Valley Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040204000015 PA Part B Supplier - Ambulatory Surgical Center 6002709144 Practice locations: Huntingdon Valley, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Huntingdon Valley Surgery CenterCCN 39C0001154
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1018931Huntingdon Valley Surgery Center1800 Byberry Road - BLDG 10, Huntingdon Valley, PA 19006Certificate of waiverNov 4, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1669465209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BYBERRY RD BLDG 10",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063522",
            "telephone_number": "159-144-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BYBERRY ROAD",
            "address_2": "BUILDING 10",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "19006",
            "telephone_number": "215-914-4600",
            "fax_number": "215-947-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION SURGERY AFFILIATE OF HUNTINGDON VALLEY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "VERBITSKY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-914-4602"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "17131501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID # FOR BLUE CROSS",
            "identifier": "0001397000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008872050001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huntingdon Valley Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.