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SURGICAL CENTER OF CONNECTICUT LLC
NPI 1023113701
Clinic/Center - Ambulatory Surgical in Bridgeport, CT

Active since September 14, 2006CLIA 07D1080973 · Waiver
4920 MAIN ST, BRIDGEPORT, CT 06606(203) 371-2986(203) 371-2987 Get Directions Write a Review

NPPES record last updated: July 28, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Surgical Center Of Connecticut Llc NPPES

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

SURGICAL CENTER OF CONNECTICUT LLC (NPI 1023113701) is a healthcare organization registered as an ambulatory surgical in Bridgeport, Connecticut and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through March 5, 2028 and lists Charles A Wallace, Administrator, as its authorized official.

NPPES Registry Identity

NPI1023113701
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGICAL CENTER OF CONNECTICUT LLC
Location Address4920 MAIN STBridgeport, CT 06606-1300
Mailing Address4920 Main StBridgeport, CT 06606-1300 · (203) 371-2986 · Fax (203) 371-2987
Phone(203) 371-2986
Fax(203) 371-2987
Organization SubpartNo
Authorized OfficialCharles A WallaceAdministrator · (203) 371-2986
Enumeration DateSeptember 14, 2006
Last NPPES UpdateJuly 28, 2015
✔ NPI 1023113701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4920 MAIN ST, Bridgeport, CT 06606
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Other Identifiers 2

Medicare OSCAR/certification07C0001029
Medicaid004248862CT

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 07D1080973

Surgical Center Of Connecticut, LLC Attn- Kyle Friedman, Rn, Bsn · Bridgeport, CT
Active · expires Mar 5, 2028
CLIA Number07D1080973
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 6, 2026
Certificate Expiration DateMarch 5, 2028
Laboratory DirectorCharles Adelmann
Laboratory Phone(203) 371-2986
Laboratory LocationSurgical Center Of Connecticut, LLC Attn- Kyle Friedman, Rn, Bsn4920 Main St 2nd Flr, Bridgeport, CT 06606
CLIA data matches this NPI record on: Address Name Phone
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.

Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
40 services32 patients
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.
22 services22 patients
Shock wave crushing of kidney stones 50590
Shock wave crushing of kidney stones, also known as Extracorporeal Shock Wave Lithotripsy (ESWL), is a non-invasive treatment. It involves the use of sound waves to break down kidney stones into small pieces that can easily pass through your urinary tract.
22 services18 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.
19 services19 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.
16 services16 patients
Repair of tendon, finger, and/or palm of hand 26145
This procedure involves fixing damaged tendons in your finger or palm. Tendons connect muscles to bones, enabling movement. When injured, they require surgical repair to restore function. You'll be under anesthesia, and a surgeon will make small incisions to access and mend the tendon.
15 services14 patients

Other Providers at the Same Location NPPES 5

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

PATRICK A TENNANT MD
Anesthesiology
4920 MAIN ST, 200
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 374-1515
SHAZI ALI
Nurse Practitioner
4920 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (860) 380-5150
NORTHEAST AMBULATORY ANESTHESIA LLC
Anesthesiology
4920 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 583-8906
DR. MAHVISH N QAZI MD
Family Medicine
4920 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (475) 210-4960
PHILLIS BEBERMAN-JENNES DO
Anesthesiology
4920 MAIN ST, SUITE 202
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 374-1515

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 Surgical Center Of Connecticut LLC's NPI number?

The NPI number for Surgical Center Of Connecticut LLC is 1023113701. It was assigned to this organization in the NPPES registry on September 14, 2006.

Where is Surgical Center Of Connecticut LLC located?

Surgical Center Of Connecticut LLC is located at 4920 Main St, Bridgeport, CT 06606. The listed phone number is (203) 371-2986.

What is Surgical Center Of Connecticut LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Surgical Center Of Connecticut LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D1080973) is associated with this NPI, valid through March 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Surgical Center Of Connecticut LLC was last updated on July 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.