NPIMap

Organization Active NPI

PGC Endoscopy Center for Excellence, LLC

  • Endoscopy Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1972678449
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
Legal business name
PGC ENDOSCOPY CENTER FOR EXCELLENCE, LLC
Practice address
700 Cottman Ave
Suite 201
Philadelphia, PA 19111-3062
Phone
(215) 742-9900
Fax
(215) 742-7051
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Ashley Kristina Mercy
Title
Administrator
Phone
(215) 947-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X Primary

Addresses

Primary practice location

700 Cottman Ave
Suite 201
Philadelphia, PA 19111-3062

Mailing address

700 Cottman Ave Ste 201
Philadelphia, PA 19111-3062
Phone (215) 742-9900

Other names 1

  • PGC Endoscopy Center, Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150918000067 PA Part B Supplier - Ambulatory Surgical Center 9537476882 Receives reassigned benefits from 8 practitioners
Practice locations: Philadelphia, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
PGC Endoscopy Center for Excellence LLCCCN 39C0001237
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
39D1065307PGC Endoscopy Center for Excellence700 Cottman Avenue, Philadelphia, PA 19111Certificate of waiverFeb 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1972678449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 COTTMAN AVE STE 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113062",
            "telephone_number": "215-742-9900",
            "fax_number": "215-742-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 COTTMAN AVE",
            "address_2": "SUITE 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113062",
            "telephone_number": "215-742-9900",
            "fax_number": "215-742-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PGC ENDOSCOPY CENTER FOR EXCELLENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "MERCY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "KRISTINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-947-7000"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PGC Endoscopy Center, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "PGC Endoscopy Center, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.