Children'S Surgery Center of Philadelphia LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CHILDREN'S SURGERY CENTER OF PHILADELPHIA LLC

Practice address

2301 E Allegheny Ave Ste 301M
Philadelphia, PA 19134-4427

Phone

(717) 824-1618

NPI assigned

Oct 30, 2019

Organization subpart

No

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

Authorized official

Name

Mr. William James Price Jr., NURSE PRACTITIONER

Title

Vice President of Surgery Operation

Phone

(717) 824-1618

Specialties & licenses 1

Addresses

Other names 1

• Children's Dental Surgery of Philadelphia Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Ambulatory surgical center certification: CCN 39C0001365

Legal name

CHILDREN'S DENTAL SURGERY OF PHILADELPHIA

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

May 10, 2021

Last certification

May 10, 2021

Ownership / control type

Proprietary

Facility address

2301 E Allegheny Avenue Suite 301M
Philadelphia, PA 19134

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1972147239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 MEADOW RIDGE DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176015729",
            "telephone_number": "717-824-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E ALLEGHENY AVE STE 301M",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344427",
            "telephone_number": "717-824-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S SURGERY CENTER OF PHILADELPHIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-30",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT OF SURGERY OPERATION",
        "authorized_official_telephone_number": "717-824-1618",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wprice@childrenssurgicalcenter.com",
            "affiliation": "N",
            "address_1": "2301 E Allegheny Ave Ste 301M",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191344427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Children's Dental Surgery of Philadelphia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Children's Dental Surgery of Philadelphia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Children'S Hospital of Philadelphia
• Children'S Hospital of Philadelphia
• Children'S Hospital of Philadelphia
• Children'S Hospital of Philadelphia
• Children'S Service,Inc.
• Children'S Surgical Associates LTD
• Children'S Surgical Associates LTD
• Children'S Surgical Associates LTD
• Children'S Surgical Associates LTD
• Children'S Surgical Associates LTD

• Ambulatory Surgical Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.