Organization Active NPI

Main Line Spine Surgery Center, LLC

Doing business as Merion Medical Surgery Center

  • Ambulatory Surgical Clinic/Center
  • King of Prussia, PA
National Provider Identifier
1790876431
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1787 Issued in PA
Legal business name
MAIN LINE SPINE SURGERY CENTER, LLC
Doing business as
Merion Medical Surgery Center
The Merion Building Surgery Center
Practice address
700 S Henderson Rd
Ste 335
King of Prussia, PA 19406
Phone
(610) 337-2828
Fax
(610) 337-2955
NPI assigned
Sep 27, 2006
Last updated
Aug 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Kathlene Negvesky
Title
Chief Administrative Officer
Phone
(610) 337-2828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 1787 PA Primary

Addresses

Primary practice location

700 S Henderson Rd
Ste 335
King of Prussia, PA 19406

Mailing address

700 S Henderson Rd Ste 335
King of Prussia, PA 19406-4206
Phone (610) 337-2828

Other identifiers 2

IdentifierTypeStateIssuer
0006763000OtherPAINDEPENDENCE BLUE CROSS
P00294957OtherPARAILROAD MEDICARE

Other names 2

  • Merion Medical Surgery Center Doing business as
  • The Merion Building 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
O20051223000103 PA Part B Supplier - Ambulatory Surgical Center 2668494261 Practice locations: King of Prussia, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Main Line Spine Surgery Center IncCCN 39C0001198
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
39D1043655Merion Medical Surgery Center700 South Henderson Road Suite 335, King of Prussia, PA 19406Certificate of waiverJul 28, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHCEBA

Practitioners & affiliated clinicians

Practitioners 1

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1790876431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S HENDERSON RD STE 335",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064206",
            "telephone_number": "610-337-2828",
            "fax_number": "610-337-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S HENDERSON RD",
            "address_2": "STE 335",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "19406",
            "telephone_number": "610-337-2828",
            "fax_number": "610-337-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE SPINE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "NEGVESKY",
        "authorized_official_first_name": "KATHLENE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "610-337-2828"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "1787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0006763000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00294957",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merion Medical Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Merion Building Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.