JEFFESON ENDOSCOPY CENTER AT BALA
NPI 1972977627
Clinic/Center - Endoscopy in Bala Cynwyd, PA

Active since November 18, 2015CLIA 39D2110422 · Waiver
130 PRESIDENTIAL BLVD, BALA CYNWYD, PA 19004(615) 397-9187 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 4, 2022, Jan 21, 2016, Nov 18, 2015 (3 updates tracked since 2015).

About Jeffeson Endoscopy Center At Bala NPPES

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

JEFFESON ENDOSCOPY CENTER AT BALA (NPI 1972977627) is a healthcare organization registered as an endoscopy in Bala Cynwyd, Pennsylvania and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through March 14, 2028 and lists Richard Webster, President, as its authorized official.

NPPES Registry Identity

NPI1972977627
Entity TypeOrganization
Primary Taxonomy261QE0800X
Legal Business NameJEFFERSON AMBULATORY SURGERY SERVICES, LLC
Location Address130 PRESIDENTIAL BLVDBala Cynwyd, PA 19004-1110
Mailing Address111 S 11th St, Ste. 2210Philadelphia, PA 19107-4824
Organization SubpartNo
Authorized OfficialRichard WebsterPresident · (215) 955-7937
Enumeration DateNovember 18, 2015
Last NPPES UpdateOctober 4, 20223 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
NPI 1972977627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · EndoscopyAmbulatory Health Care Facilities
Taxonomy Code261QE0800X
130 PRESIDENTIAL BLVD, Bala Cynwyd, PA 19004

Other Names 1

Doing Business AsJeffeson Endoscopy Center At Bala

Accepted Insurance

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 39D2110422

Jefferson Endoscopy Center At Bala LLC · Bala Cynwyd, PA
Active · expires Mar 14, 2028
CLIA Number39D2110422
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 15, 2026
Certificate Expiration DateMarch 14, 2028
Laboratory DirectorDr. Stephanie M. Moleski
Laboratory Phone(267) 443-2040
Laboratory LocationJefferson Endoscopy Center At Bala LLC130 Presidential Blvd, Bala Cynwyd, PA 19004
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
178 services178 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
141 services139 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
103 services103 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
37 services37 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
33 services33 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
15 services15 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
130 PRESIDENTIAL BLVD, SUITE 200
BALA CYNWYD, PA 19004

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 1972977627. It was assigned to this organization in the NPPES registry on November 18, 2015. The provider is doing business as Jeffeson Endoscopy Center At Bala.

Where is Jefferson Ambulatory Surgery Services, LLC located?

Jefferson Ambulatory Surgery Services, LLC is located at 130 Presidential Blvd, Bala Cynwyd, PA 19004. The listed phone number is (615) 397-9187.

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 39D2110422) is associated with this NPI, valid through March 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jefferson Ambulatory Surgery Services, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jefferson Ambulatory Surgery Services, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jefferson Ambulatory Surgery Services, LLC was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.