STREET ROAD SURGERY CENTER, LLC – NPI #1134273311
Clinic/Center

STREET ROAD SURGERY CENTER, LLC is an AHC clinic located in TREVOSE, PA. NPPES has assigned the NPI number 1134273311 to STREET ROAD SURGERY CENTER, LLC on January 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STREET ROAD SURGERY CENTER, LLC below.

NPI Profile for
STREET ROAD SURGERY CENTER, LLC

NPI Number
1134273311
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STREET ROAD SURGERY CENTER, LLC
Primary location
4979 OLD STREET RD
TREVOSE, PA 19053-6222
Phone: (215) 355-7027 Fax: (215) 355-7028
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EVELYN WITKIN
MEDICAL DIRECTOR
Phone: (215) 355-7027
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 PA 2053

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.