Healthcare Provider Details

I. General information

NPI: 1215967351
Provider Name (Legal Business Name): FRIENDSHIP AMBULATORY SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5550 FRIENDSHIP BLVD STE 270
CHEVY CHASE MD
20815-7297
US

IV. Provider business mailing address

5550 FRIENDSHIP BLVD STE 270
CHEVY CHASE MD
20815-7297
US

V. Phone/Fax

Practice location:
  • Phone: 301-215-7347
  • Fax: 301-715-7345
Mailing address:
  • Phone: 301-215-7347
  • Fax: 301-715-7345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License NumberA1131
License Number StateMD

VIII. Authorized Official

Name: STEVEN MADREPERLA
Title or Position: PRESIDENT AND CEO
Credential: MD, PHD
Phone: 908-458-8333