Organization Active NPI

FPM Urogynecology Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Allentown, PA
National Provider Identifier
1720315765
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
FPM UROGYNECOLOGY CENTER, LLC
Practice address
3050 Hamilton Blvd
Suite 200
Allentown, PA 18103-3628
Phone
(610) 435-9575
Fax
(610) 435-2763
NPI assigned
Nov 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Michelle Jared
Title
Revenue Cycle Director
Phone
(763) 294-2012

Specialties & licenses 1

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

Addresses

Primary practice location

3050 Hamilton Blvd
Suite 200
Allentown, PA 18103-3628

Mailing address

3050 Hamilton Blvd
Suite 200
Allentown, PA 18103-3628
Phone (610) 435-9575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100212000628 PA Part B Supplier - Ambulatory Surgical Center 2769526813 Receives reassigned benefits from 1 practitioner
Practice locations: Allentown, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
FPM Urogynecology Center LLCCCN 39C0001280
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1720315765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 HAMILTON BLVD",
            "address_2": "SUITE 200",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033628",
            "telephone_number": "610-435-9575",
            "fax_number": "610-435-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 HAMILTON BLVD",
            "address_2": "SUITE 200",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033628",
            "telephone_number": "610-435-9575",
            "fax_number": "610-435-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FPM UROGYNECOLOGY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "JARED",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "763-294-2012"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.