JEFFERSON SURGERY CENTER - TORRESDALE
NPI 1629826698
Clinic/Center - Endoscopy in Philadelphia, PA

Active since May 07, 2024CLIA 39D2315849 · Waiver
3998 RED LION RD STE 242, PHILADELPHIA, PA 19114(215) 341-1944 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jefferson Surgery Center - Torresdale NPPES

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

JEFFERSON SURGERY CENTER - TORRESDALE (NPI 1629826698) is a healthcare organization registered as an endoscopy in Philadelphia, Pennsylvania and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through December 19, 2026 and lists William Gavigan, Management Member, as its authorized official.

NPPES Registry Identity

NPI1629826698
Entity TypeOrganization
Primary Taxonomy261QE0800X
Legal Business NameJEFFERSON AMBULATORY SURGERY SERVICES, LLC
Location Address3998 RED LION RD STE 242Philadelphia, PA 19114-1441
Mailing Address10800 Knights Rd Ste 242Philadelphia, PA 19114-4200
Organization SubpartYes
Authorized OfficialWilliam GaviganManagement Member · (615) 397-9187
Enumeration DateMay 7, 2024
Last NPPES UpdateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
NPI 1629826698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · EndoscopyAmbulatory Health Care Facilities
Taxonomy Code261QE0800X
3998 RED LION RD STE 242, Philadelphia, PA 19114

Other Names 1

Doing Business AsJefferson Surgery Center - Torresdale

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2315849

Jefferson Surgery Ctr- Torresdale · Philadelphia, PA
Active · expires Dec 19, 2026
CLIA Number39D2315849
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 20, 2024
Certificate Expiration DateDecember 19, 2026
Laboratory DirectorDr. Kashif Tufail
Laboratory Phone(215) 612-5041
Laboratory LocationJefferson Surgery Ctr- Torresdale3998 Red Lion Rd, Ste 242, Philadelphia, PA 19114
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Jefferson Ambulatory Surgery Services, LLC's NPI number?

The NPI number for Jefferson Ambulatory Surgery Services, LLC is 1629826698. It was assigned to this organization in the NPPES registry on May 7, 2024. The provider is doing business as Jefferson Surgery Center - Torresdale.

Where is Jefferson Ambulatory Surgery Services, LLC located?

Jefferson Ambulatory Surgery Services, LLC is located at 3998 Red Lion Rd Ste 242, Philadelphia, PA 19114. The listed phone number is (215) 341-1944.

What is Jefferson Ambulatory Surgery Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Endoscopy, with taxonomy code 261QE0800X.

Does Jefferson Ambulatory Surgery Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2315849) is associated with this NPI, valid through December 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jefferson Ambulatory Surgery Services, LLC was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.