NPIMap

Organization Active NPI

Clinical Specialty Associates

  • Gastroenterology Physician
  • Bala Cynwyd, PA
National Provider Identifier
1992595763
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
CLINICAL SPECIALTY ASSOCIATES
Practice address
150 Monument Rd FL 4
Bala Cynwyd, PA 19004-1702
Phone
(610) 902-1738
NPI assigned
May 7, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Stacy Greco
Title
Payer Enrollment Manager
Phone
(223) 341-8516

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

Practitioners 18

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

View all 18

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250608000029 PA Part B Supplier - Clinic/Group Practice 5799295853 Receives reassigned benefits from 191 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Chester, PA; Warrington, PA; Warminster, PA; Springfield, PA; Sellersville, PA; Schwenksville, PA; Phoenixville, PA; Philadelphia, PA…

National Provider Directory

National Provider Directory
Tax ID family
Clinical Specialty Associates18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

150 Monument Rd
Fl 4
Bala Cynwyd, PA 19004
Phone (610) 239-2871

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

NPPES NPI Registry

Primary practice location

150 Monument Rd FL 4
Bala Cynwyd, PA 19004-1702

Mailing address

150 Monument Rd FL 4
Bala Cynwyd, PA 19004-1702
Phone (610) 902-1738

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 7, 2025.

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1992595763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MONUMENT RD FL 4",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041702",
            "telephone_number": "610-902-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MONUMENT RD FL 4",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041702",
            "telephone_number": "610-902-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL SPECIALTY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "GRECO",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "PAYER ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "223-341-8516"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.