CONNECTICUT ORTHOPAEDIC SURGERY CENTER, LLC
NPI 1477017648
Clinic/Center - Ambulatory Surgical in Milford, CT

NPI Status: Active since January 22, 2019

Contact Information

205 SUB WAY DRIVE
MILFORD, CT
ZIP 06461
Phone: (860) 667-9542
Fax: (860) 667-2066

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 07D2170107
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 08-01-2027

About CONNECTICUT ORTHOPAEDIC SURGERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Connecticut Orthopaedic Surgery Center, Llc, a provider established in Milford, Connecticut operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1477017648 assigned on January 2019. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Lucille Formeister (Manager)

NPI
1477017648
Provider Name
CONNECTICUT ORTHOPAEDIC SURGERY CENTER, LLC
Entity Type
Organization
Location Address
205 SUB WAY DRIVE MILFORD, CT 06461
Location Phone
(860) 667-9542
Location Fax
(860) 667-2066
Mailing Address
205 SUB WAY MILFORD, CT 06461
Mailing Phone
(860) 667-9542
Mailing Fax
(860) 667-2066
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-22-2019
Last Update Date
11-19-2019
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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

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

LUCILLE FORMEISTER

Authorized Official Title
MANAGER
Authorized Official Phone
(860) 667-9542

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.

Correction of toe joint deformity

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

This service was performed 33 times for 12 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

This service was performed 23 times for 12 patients

Incision of tendon covering of finger

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

This service was performed 29 times for 23 patients

Injection of substance into lower spine canal using imaging guidance

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

This service was performed 62 times for 49 patients

Release and/or relocation of hand nerve

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.

This service was performed 38 times for 36 patients

Removal of knee cartilage using an endoscope

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

This service was performed 13 times for 13 patients

Repair of chronic torn shoulder rotator cuff

Repair of a chronic torn shoulder rotator cuff is a surgical procedure aimed at mending the damaged tendon in your shoulder. This helps restore shoulder strength and functionality, alleviating pain and discomfort caused by the tear.

This service was performed 11 times for 11 patients

Repair of shoulder rotator cuff using an endoscope

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

This service was performed 15 times for 15 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
07D2170107
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
August 02, 2025
Certificate Expiration Date
August 01, 2027
Laboratory Director
JAMES SPAK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Connecticut Orthopaedic Surgery Center, 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 1477017648, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 4 + 7 + 0 + 1 + 1 + 4 + 6 + 8 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1477017648.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477017648, enumerated as an "organization" on January 22, 2019.

The provider is located at 205 SUB WAY DRIVE MILFORD, CT 06461 and the phone number is (860) 667-9542.

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