CONNECTICUT NEUROSURGERY PC
NPI 1093805079
Physician Assistant - Surgical in Woodbridge, CT

NPI Status: Active since October 13, 2006

Contact Information

1 BRADLEY RD
SUITE 501
WOODBRIDGE, CT
ZIP 06525
Phone: (203) 389-2278
Fax: (203) 389-2861

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  • Organization
  • Physician Assistant
  • Surgical

About CONNECTICUT NEUROSURGERY PC

This page provides the complete NPI Profile along with additional information for Connecticut Neurosurgery Pc, a provider established in Woodbridge, Connecticut operating as a Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1093805079 assigned on October 2006. The practitioner's primary taxonomy code is 363AS0400X. The provider is registered as an organization and their NPI record was last updated one year ago. Connecticut Neurosurgery Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Gary M Bloomgarden Md (President)

NPI
1093805079
Provider Name
CONNECTICUT NEUROSURGERY PC
Entity Type
Organization
Location Address
1 BRADLEY RD SUITE 501 WOODBRIDGE, CT 06525
Location Phone
(203) 389-2278
Location Fax
(203) 389-2861
Mailing Address
330 ORCHARD ST SUITE 316 NEW HAVEN, CT 06511
Mailing Phone
(203) 781-3400
Mailing Fax
(203) 389-2861
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-13-2006
Last Update Date
09-11-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207LP2900XAllopathic & Osteopathic Physicians

Anesthesiology
Pain Medicine

 
2207T00000XAllopathic & Osteopathic Physicians

Neurological Surgery

 
3208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GARY M BLOOMGARDEN MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(203) 781-3400

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1093805079, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 8 → 16 → 7 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 8 + 3 + 1 + 6 + 0 + 1 + 0 + 0 + 1 + 4 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1093805079.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
1 BRADLEY RD, SUITE 709
WOODBRIDGE, CT 06525
Physical Therapist
1 BRADLEY RD, SUITE #801
WOODBRIDGE, CT 06525
Physical Therapist
1 BRADLEY RD, SUITE #801
WOODBRIDGE, CT 06525
Social Worker (Clinical)
1 BRADLEY RD, SUITE 903 WOODBRIDGE OFFICE PARK
WOODBRIDGE, CT 06525
Marriage & Family Therapist
1 BRADLEY RD, SUITE 903
WOODBRIDGE, CT 06525
Physical Therapist
1 BRADLEY RD, SUITE #801
WOODBRIDGE, CT 06525
Psychologist (Clinical)
1 BRADLEY RD, SUITE 903
WOODBRIDGE, CT 06525
Community/Behavioral Health
1 BRADLEY RD, SUITE 205
WOODBRIDGE, CT 06525
Dermatology (Procedural Dermatology)
1 BRADLEY RD, SUITE 705
WOODBRIDGE, CT 06525
Nurse Practitioner (Family)
1 BRADLEY RD, SUITE 502
WOODBRIDGE, CT 06525
Marriage & Family Therapist
1 BRADLEY RD, SUITE 903
WOODBRIDGE, CT 06525
Social Worker (Clinical)
1 BRADLEY RD, SUITE 906
WOODBRIDGE, CT 06525
Physical Therapist
1 BRADLEY RD, SUITE 801
WOODBRIDGE, CT 06525
Psychologist (Clinical)
1 BRADLEY RD, SUITE 206
WOODBRIDGE, CT 06525
Behavior Analyst
1 BRADLEY RD, SUITE 905
WOODBRIDGE, CT 06525
Registered Nurse (Psychiatric/Mental Health, Adult)
1 BRADLEY RD, SUITE 14
WOODBRIDGE, CT 06525
Social Worker (Clinical)
1 BRADLEY RD, SUITE 905
WOODBRIDGE, CT 06525
Nurse Practitioner (Primary Care)
1 BRADLEY RD, SUITE 709
WOODBRIDGE, CT 06525
Social Worker (Clinical)
1 BRADLEY RD, 905
WOODBRIDGE, CT 06525
Community/Behavioral Health
1 BRADLEY RD, 404
WOODBRIDGE, CT 06525

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093805079, enumerated as an "organization" on October 13, 2006.

The provider is located at 1 BRADLEY RD SUITE 501 WOODBRIDGE, CT 06525 and the phone number is (203) 389-2278.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.