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BALA INSTITUTE OF ORAL SURGERY
NPI 1477567782
Dentist - Oral and Maxillofacial Surgery in Bala Cynwyd, PA

Active since July 29, 2006
15 PRESIDENTIAL BLVD, SUITE 301, BALA CYNWYD, PA 19004(610) 667-6161(610) 617-9275 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bala Institute Of Oral Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BALA INSTITUTE OF ORAL SURGERY (NPI 1477567782) is a healthcare organization registered as an oral and maxillofacial surgery in Bala Cynwyd, Pennsylvania and active in the NPI registry since July 2006. The organization lists Lisa Waxman, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1477567782
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameBALA INSTITUTE OF ORAL SURGERY
Location Address15 PRESIDENTIAL BLVD, SUITE 301Bala Cynwyd, PA 19004-1006
Mailing Address15 N Presidential Boulevard, Suite 301Bala Cynwyd, PA 19004 · (610) 667-6161 · Fax (610) 617-9275
Phone(610) 667-6161
Fax(610) 617-9275
Organization SubpartNo
Authorized OfficialLisa WaxmanOffice Manager · (484) 680-6405
Enumeration DateJuly 29, 2006
Last NPPES UpdateMarch 4, 2022
NPPES CertifiedMarch 4, 2022
✔ NPI 1477567782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in PA · DS023126L
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
15 PRESIDENTIAL BLVD, Bala Cynwyd, PA 19004
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Other Identifiers 5

Other1610569PA · United Concordia
Other3776353PA · Aetna
OtherMA172847PA · Highmark
Other1610569PA · Blue Shield
Other172847PA · Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bala Institute Of Oral Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bala Institute Of Oral Surgery, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mansoor Madani, DMD
Oral Surgery
NPI 1568646628
15 N PRESIDENTIAL BLVD SUITE 301
Bala Cynwyd, PA 19004
(610) 667-4455
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bala Institute Of Oral Surgery's NPI number?

The NPI number for Bala Institute Of Oral Surgery is 1477567782. It was assigned to this organization in the NPPES registry on July 29, 2006.

Where is Bala Institute Of Oral Surgery located?

Bala Institute Of Oral Surgery is located at 15 Presidential Blvd Suite 301, Bala Cynwyd, PA 19004. The listed phone number is (610) 667-6161.

What is Bala Institute Of Oral Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Bala Institute Of Oral Surgery enrolled in Medicare?

Yes. Bala Institute Of Oral Surgery is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bala Institute Of Oral Surgery?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Bala Institute Of Oral Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bala Institute Of Oral Surgery was last updated on March 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.