Active NPI
Malvern Endoscopy Center LLC
- Ambulatory Surgical Clinic/Center
- Malvern, PA
National Provider Identifier
1700742913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MALVERN ENDOSCOPY CENTER LLC
- Practice address
- 325 Central Ave Ste LL
Malvern, PA 19355-3265 - Phone
- (410) 290-6677
- Fax
- (410) 290-6676
- NPI assigned
- Dec 31, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zachary Jones
- Title
- Ceo
- Phone
- (410) 290-6677
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
325 Central Ave Ste LL
Malvern, PA 19355-3265
Mailing address
7120 Minstrel Way Ste 100
Columbia, MD 21045-5274
Phone (410) 290-6677
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2343441 | Malvern Endoscopy Center LLC | Certificate of waiver | May 6, 2028 |
National Provider Directory
National Provider DirectoryLocations
325 Central Ave
Ste Ll
Malvern, PA 19355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767139200000",
"number": "1700742913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7120 MINSTREL WAY STE 100",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210455274",
"telephone_number": "410-290-6677",
"fax_number": "410-290-6676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 CENTRAL AVE STE LL",
"city": "MALVERN",
"state": "PA",
"postal_code": "193553265",
"telephone_number": "410-290-6677",
"fax_number": "410-290-6676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MALVERN ENDOSCOPY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-31",
"last_updated": "2025-12-31",
"certification_date": "2025-12-31",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "ZACHARY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "410-290-6677"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Malvern, PA
- Main Line Gastroenterology Associates, PC
- Main Line Home Care Services LLC
- Main Line Hospitals, Inc.
- Main Line Neuropsychology, PLLC
- Main Line PA Endoscopy ASC LP
- Malvern Fire Company
- Malvern Institute for Psychiatric and Alcoholic Studies, Inc.
- Sean Benjamin Mandel, D.C.
- Mithra Maneyapanda, M.D.
- Richard Mangano, M.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.