1669465209 NPI number — FOUNDATION SURGERY AFFILIATE OF HUNTINGDON VALLEY LP

Table of content: SARAH EMILY STEGMAIER LPC (NPI 1689156598)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669465209 NPI number — FOUNDATION SURGERY AFFILIATE OF HUNTINGDON VALLEY LP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FOUNDATION SURGERY AFFILIATE OF HUNTINGDON VALLEY LP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669465209
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/04/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1800 BYBERRY RD BLDG 10
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUNTINGDON VALLEY
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19006-3522
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
159-144-6022
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1800 BYBERRY ROAD
Provider Second Line Business Practice Location Address:
BUILDING 10
Provider Business Practice Location Address City Name:
HUNTINGDON VALLEY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19006
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-914-4600
Provider Business Practice Location Address Fax Number:
215-947-8376
Provider Enumeration Date:
08/30/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
VERBITSKY
Authorized Official First Name:
ASHLEY
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
215-914-4602

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X , with the licence number:  17131501 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0001397000 . This is a "ID # FOR BLUE CROSS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1008872050001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".