NPIMap

Organization Active NPI

Abington Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Willow Grove, PA
National Provider Identifier
1831139955
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
27171500 Issued in PA
Legal business name
ABINGTON SURGICAL CENTER
Practice address
2701 Blair Mill Rd
Suite 35
Willow Grove, PA 19090-1041
Phone
(215) 443-8505
Fax
(215) 957-0565
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Stan Grissinger
Title
Executive Director
Phone
(215) 443-8505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 27171500 PA Primary

Addresses

Primary practice location

2701 Blair Mill Rd
Suite 35
Willow Grove, PA 19090-1041

Mailing address

2701 Blair Mill Rd
Suite 35
Willow Grove, PA 19090-1041
Phone (215) 443-8505

Other identifiers 1

IdentifierTypeStateIssuer
001185142001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060810000355 PA Part B Supplier - Ambulatory Surgical Center 7113920240 Practice locations: Willow Grove, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Abington Surgical CenterCCN 39C0001031
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://3bf2dd7c-9325-4617-b88b-7053e186ed5b.gastro.prod.fhir.ema-api.com/fhir/r4/

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831139955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 BLAIR MILL RD",
            "address_2": "SUITE 35",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901041",
            "telephone_number": "215-443-8505",
            "fax_number": "215-957-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 BLAIR MILL RD",
            "address_2": "SUITE 35",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901041",
            "telephone_number": "215-443-8505",
            "fax_number": "215-957-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABINGTON SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRISSINGER",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-443-8505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "27171500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001185142001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.