DELAWARE VALLEY MEDICAL MANAGEMENT (NPI# 1134127426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134127426 |
| Entity Type | Organization |
| Organization Name | DELAWARE VALLEY MEDICAL MANAGEMENT |
| Other Organization Name | DELAWARE VALLEY ORTHOPEDIC AND SPINE SURGICENTER |
| Practice Address |
100 Presidential Blvd 4th Floor Bala Cynwyd PA 19004-1108 |
| Practice Telephone | 6106642122 |
| Practice Fax Number | 6106642315 |
| Mailing Telephone | 6106642122 |
| Mailing Fax Number | 6106642315 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. DELORES DEBRUCE (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 6109497132 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
01161501 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | WORKER'S COMPENSATION | 060767 | 01 |
| PA | AETNA | 2969665 | 01 |
| PA | HEALTH PARTNERS | 35243 | 01 |
| PA | IBC | 0001596000 | 01 |
| PA | KEYSTONE MERCY | 30016469 | 01 |
| PA | ELDER HEALTH | 10586 | 01 |
| PA | 0077845390002 | 05 | |
| PA | MOTOR VEHICLE | 060767 | 01 |
| Other Name | Type Code |
|---|---|
| Delaware Valley Orthopedic and Spine Surgicenter | Doing Business As Name - Organization |
| Street Address |
100 PRESIDENTIAL BLVD 4TH FLOOR |
| City | BALA CYNWYD |
| State | PA |
| Zip Code | 19004-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896950 | Quincy X Waite | Physical Therapist | 100 Presidential Blvd, Bala Cynwyd, PA 19004-1108 | 2020-09-22 |
| 1457906802 | Stephen Maze | Physical Medicine & Rehabilitation | 100 Presidential Blvd, Bala Cynwyd, PA 19004-1108 | 2019-08-02 |
| 1316592785 | Kaitlyn Victoria Vaccarelli | Physical Therapist | 100 Presidential Blvd, Bala Cynwyd, PA 19004-1108 | 2019-08-02 |
| 1912563230 | Maura Perni | Physical Therapist | 100 Presidential Blvd, Bala Cynwyd, PA 19004-1108 | 2019-05-13 |
| 1801370630 | Amanda Viner | Psychologist | 100 Presidential Blvd, Bala Cynwyd, PA 19004-1108 | 2018-09-18 |
| 1558855577 | Kimberly Ann Miller | Physical Therapist | 100 Presidential Blvd, Bala Cynwyd, PA 19004 | 2018-06-22 |
| 1447758081 | Courtney Ann Del Boccio | Occupational Therapist | 100 Presidential Blvd, Bala Cynwyd, PA 19004-1108 | 2018-01-29 |
| 1750894523 | Danielle Daitch | Physical Therapist | 100 Presidential Blvd, Bala Cynwyd, PA 19004-1108 | 2017-11-14 |
| 1558874602 | Charles-maryse Daniel | Physical Therapist | 100 Presidential Blvd, Bala Cynwyd, PA 19004-1108 | 2017-11-13 |
| 1578080750 | Anthony Sechuk | Physical Therapist | 100 Presidential Blvd, Bala Cynwyd, PA 19004-1108 | 2017-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707819 | Katherine Lesher | Psychologist | 2 Bala Plaza Pl-13, Bala Plaza, PA 19004 | 2020-07-16 |
| 1144749342 | Apthcs | In Home Supportive Care | 150 Monument Road Suite 207, Bala Cynwyd, PA 19004 | 2017-09-19 |
| 1508389222 | Miriam Ray | Social Worker | 15 Montgomery Ave Apt 2b, Bala Cynwyd, PA 19004 | 2017-07-25 |
| 1003363235 | Catherine Kazanjian | Nurse Practitioner | 333 E City Ave Ste Il27, Bala Cynwyd, PA 19004 | 2016-09-06 |
| 1295181717 | Ruth Sampson-pilgrim | Nurse Practitioner | 160 Rock Hill Road, Vista Medical Services, Balacynwood, PA 19004 | 2016-05-13 |
| 1902252414 | Nurse Plus Home Care Agency,llc | In Home Supportive Care | Two Bala Plaza, Pmb #516, Suite 300, Bala Cynwyd, PA 19004 | 2016-05-13 |
| 1386010999 | Joan Lyall | Speech-Language Pathologist | 113 Ashland Avenue, Bala Cynwyd, PA 19004 | 2015-08-18 |
| 1922349158 | May W. Lee | Pediatrics | 130 E. Levering Mill Road, Bala Cynwyd, PA 19004 | 2013-03-13 |
| 1023362423 | Justin Carl Lavo | Physical Therapist | 100 Presidental Boulevard, Bala Cynwyd, PA 19004 | 2012-11-07 |
| 1689961765 | Cassio Castro | Dentist | 147 Montgomery Avenue, Bala Cynwyd, PA 19004 | 2011-07-08 |
| Find all providers in zip 19004 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518575778 | Eye Surgery of The Main Line, LLC | Clinic/Center | 333 E City Avenue, Two Bala Plaza, Bala Cynwyd, PA 19004-1501 | 2020-07-14 |
| 1235239054 | Main Line Pa Endoscopy Asc Lp | Clinic/Center | 333 E City Line Ave, Two Bala Plaza, Suite 30, Bala Cynwyd, PA 19004-1501 | 2006-09-22 |
| 1285087106 | Bala Cynwyd Surgery Center | Clinic/Center | 100 Presidential Blvd, Fourth Floor, Bala Cynwyd, PA 19004-1108 | 2016-07-15 |
| 1184678682 | Main Line Surgery Center, LLC | Clinic/Center | 10 Presidential Blvd, Suite 200, Bala Cynwyd, PA 19004-1107 | 2006-05-19 |
| 1346224490 | Nevyas Eye Associates, PC | Clinic/Center | 333 E City Ave, 2 Bala Plaza, Bala Cynwyd, PA 19004-1501 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871108068 | Tilden Ambulatory Surgery Center, LLC | Clinic/Center | 61 Industrial Dr, Hamburg, PA 19526-8768 | 2020-09-14 |
| 1447862834 | Us Cardio Washington LLC | Clinic/Center | 1000 Park Place Dr Ste 201, Washington, PA 15301-2064 | 2020-08-18 |
| 1053934919 | Doylestown Surgery Center, LLC | Clinic/Center | 593 West State Street, Doylestown, PA 18901 | 2020-05-26 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1750927190 | Hermitage Endoscopy Center Inc | Clinic/Center | 949 N Hermitage Road, Hermitage, PA 16148 | 2019-11-20 |
| 1508400920 | Nazareth Endoscopy Center, LLC | Clinic/Center | 2401 Northampton St Ste 220, Easton, PA 18045-2764 | 2019-10-29 |
| 1235788878 | Integrated Surgical Institute, LLC | Clinic/Center | West Ridge Business Campus, 1001 James Drive, Leesport, PA 19533 | 2019-09-06 |
| 1841759040 | Beaver Valley Ambulatory Surgery Center, LLC | Clinic/Center | 79 Wagner Road, Suite 101, Monaca, PA 15061-2489 | 2019-03-18 |
| 1669931861 | Urology Health Surgery Center, LLC | Clinic/Center | 1974 Sproul Rd Ste 104, Broomall, PA 19008-3402 | 2019-03-18 |
| 1013471754 | Advanced Surgery Center of Lancaster, LLC | Clinic/Center | 160 N Pointe Blvd Ste 105, Lancaster, PA 17601-4134 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
| City | BALA CYNWYD |
| Zip Code | 19004 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.