BLOOMFIELD ASC LLC
NPI 1255797726
Clinic/Center - Ambulatory Surgical in Bloomfield, CT

NPI Status: Active since January 13, 2016

Contact Information

580 COTTAGE GROVE RD
SUITE 103
BLOOMFIELD, CT
ZIP 06002
Phone: (914) 556-6266
Fax: (860) 955-2957

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 07D1012969
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 05-26-2027

About BLOOMFIELD ASC LLC

This page provides the complete NPI Profile along with additional information for Bloomfield Asc Llc, a provider established in Bloomfield, Connecticut operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1255797726 assigned on January 2016. The practitioner's primary taxonomy code is 261QA1903X with license number 0350 (CT). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mrs. Carissa Beaulieu (Administrator)

NPI
1255797726
Provider Name
BLOOMFIELD ASC LLC
Entity Type
Organization
Location Address
580 COTTAGE GROVE RD SUITE 103 BLOOMFIELD, CT 06002
Location Phone
(914) 556-6266
Location Fax
(860) 955-2957
Mailing Address
580 COTTAGE GROVE RD STE 211 BLOOMFIELD, CT 06002
Mailing Phone
(860) 242-2193
Mailing Fax
(860) 955-2957
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-13-2016
Last Update Date
12-21-2020
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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

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
0350
License State
CT

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

MRS. CARISSA BEAULIEU

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(860) 242-2193

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

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.

This service was performed 21 times for 19 patients

Biopsy of large bowel using a flexible endoscope

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.

This service was performed 26 times for 26 patients

Complex removal of cataract with insertion of prosthetic lens

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

This service was performed 34 times for 29 patients

Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye

This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.

This service was performed 44 times for 29 patients

Insertion of eye fluid drainage device

The insertion of an eye fluid drainage device is a procedure to manage eye pressure. A small device is placed in the eye to help drain excess fluid, reducing pressure that can damage the optic nerve and lead to vision loss. This procedure is often used for glaucoma treatment.

This service was performed 21 times for 16 patients

Removal of cataract with insertion of prosthetic lens

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

This service was performed 853 times for 517 patients

Removal of membrane of retina with removal of internal limiting membrane of retina

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

This service was performed 11 times for 11 patients

Removal of recurring cataract in lens capsule using a laser

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

This service was performed 38 times for 34 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
07D1012969
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
May 27, 2025
Certificate Expiration Date
May 26, 2027
Laboratory Director
SANKAR NIRANJAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bloomfield Asc Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1255797726, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
6
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 5 → 10 → 1 7 → 14 → 5 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 0 + 5 + 1 + 4 + 9 + 1 + 4 + 7 + 4 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1255797726.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Neurology)
580 COTTAGE GROVE RD
BLOOMFIELD, CT 06002
Dermatology
580 COTTAGE GROVE RD, SUITE 207
BLOOMFIELD, CT 06002
Specialist
580 COTTAGE GROVE RD
BLOOMFIELD, CT 06002
Plastic Surgery
580 COTTAGE GROVE RD, SUITE 103
BLOOMFIELD, CT 06002
Internal Medicine (Gastroenterology)
580 COTTAGE GROVE RD, STE 201
BLOOMFIELD, CT 06002
Internal Medicine (Gastroenterology)
580 COTTAGE GROVE RD, SUITE 201
BLOOMFIELD, CT 06002
Nurse Practitioner
580 COTTAGE GROVE RD, SUITE 205
BLOOMFIELD, CT 06002
Psychiatry & Neurology (Neurology)
580 COTTAGE GROVE RD, #106
BLOOMFIELD, CT 06002
Obstetrics & Gynecology (Gynecology)
580 COTTAGE GROVE RD, SUITE 208
BLOOMFIELD, CT 06002
Internal Medicine
580 COTTAGE GROVE RD, SUITE 107
BLOOMFIELD, CT 06002
Internal Medicine
580 COTTAGE GROVE RD, SUITE 107
BLOOMFIELD, CT 06002
Internal Medicine
580 COTTAGE GROVE RD, SUITE 107
BLOOMFIELD, CT 06002
Internal Medicine
580 COTTAGE GROVE RD, SUITE 107
BLOOMFIELD, CT 06002
Internal Medicine
580 COTTAGE GROVE RD, SUITE 107
BLOOMFIELD, CT 06002
Internal Medicine
580 COTTAGE GROVE RD, SUITE 107
BLOOMFIELD, CT 06002
Physician Assistant
580 COTTAGE GROVE RD, SUITE 107
BLOOMFIELD, CT 06002
Nurse Practitioner (Family)
580 COTTAGE GROVE RD
BLOOMFIELD, CT 06002
Physician Assistant
580 COTTAGE GROVE RD
BLOOMFIELD, CT 06002
Obstetrics & Gynecology
580 COTTAGE GROVE RD, SUITE 205
BLOOMFIELD, CT 06002

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255797726, enumerated as an "organization" on January 13, 2016.

The provider is located at 580 COTTAGE GROVE RD SUITE 103 BLOOMFIELD, CT 06002 and the phone number is (914) 556-6266.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.