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GLASTONBURY SURGERY CENTER, LLC
NPI 1669701157
Clinic/Center - Ambulatory Surgical in Glastonbury, CT

Active since December 14, 2009CLIA 07D2002473 · Waiver
195 EASTERN BLVD, GLASTONBURY, CT 06033(860) 633-0003(860) 633-2764 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 27, 2025, Feb 10, 2025, Dec 8, 2021 (3 updates tracked since 2021).

About Glastonbury Surgery Center, Llc NPPES

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

GLASTONBURY SURGERY CENTER, LLC (NPI 1669701157) is a healthcare organization registered as an ambulatory surgical in Glastonbury, Connecticut and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through January 18, 2028 and lists Cheryl Parent, Administrator, as its authorized official.

NPPES Registry Identity

NPI1669701157
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGLASTONBURY SURGERY CENTER, LLC
Location Address195 EASTERN BLVDGlastonbury, CT 06033-1208
Mailing Address195 Eastern BlvdGlastonbury, CT 06033-1208 · (860) 633-0003 · Fax (860) 633-2764
Phone(860) 633-0003
Fax(860) 633-2764
Organization SubpartNo
Authorized OfficialCheryl ParentAdministrator · (860) 633-0003
Enumeration DateDecember 14, 2009
Last NPPES UpdateMarch 27, 20253 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
✔ NPI 1669701157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
195 EASTERN BLVD, Glastonbury, CT 06033
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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 07D2002473

Glastonbury Surgery Center, LLC · Glastonbury, CT
Active · expires Jan 18, 2028
CLIA Number07D2002473
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorNicholas Bontempo
Laboratory Phone(860) 633-0003
Laboratory LocationGlastonbury Surgery Center, LLC195 Eastern Blvd, Glastonbury, CT 06033
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 10

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.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
6,650 services25 patients
Incision of tendon covering of finger 26055
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.
63 services49 patients
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.
43 services36 patients
Repair of shoulder rotator cuff using an endoscope 29827
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.
38 services38 patients
Release of wrist ligament using an endoscope 29848
This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.
25 services23 patients
Partial removal of collar bone at shoulder using an endoscope 29824
This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.
21 services21 patients

Other Providers at the Same Location NPPES 9

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

STEVEN VANDER NAALT MD
Surgery (Surgery of the Hand)
195 EASTERN BLVD, SUITE 200
GLASTONBURY, CT 06033
Capitol Planning Region (860) 527-7161
DR. HUGH E FINCH JR. DDS
Dentist (General Practice)
195 EASTERN BLVD, SUITE 202
GLASTONBURY, CT 06033
Capitol Planning Region (860) 289-8219
LOIS CARLSON OTR/L, CHT
Occupational Therapist (Hand)
195 EASTERN BLVD, SUITE 200
GLASTONBURY, CT 06033
Capitol Planning Region (860) 527-7161
PAMELA WILSON OTR/L, CHT
Occupational Therapist (Hand)
195 EASTERN BLVD, SUITE 200
GLASTONBURY, CT 06033
Capitol Planning Region (860) 527-7161
RALPH PETER STOCKER M.D.
Internal Medicine (Rheumatology)
195 EASTERN BLVD, # 201
GLASTONBURY, CT 06033
Capitol Planning Region (860) 246-4260
PETER DASILVA MS OTR/L
Occupational Therapist
195 EASTERN BLVD
GLASTONBURY, CT 06033
Capitol Planning Region (860) 527-7161
DR. CHRISTOPHER J SCOLA M.D.
Internal Medicine (Rheumatology)
195 EASTERN BLVD, # 201
GLASTONBURY, CT 06033
Capitol Planning Region (860) 246-4260
DR. KELLEY LARSON ETHERIDGE APRN/CRNA
Nurse Anesthetist, Certified Registered
195 EASTERN BLVD
GLASTONBURY, CT 06033
Capitol Planning Region (860) 667-9542

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 Glastonbury Surgery Center, LLC's NPI number?

The NPI number for Glastonbury Surgery Center, LLC is 1669701157. It was assigned to this organization in the NPPES registry on December 14, 2009.

Where is Glastonbury Surgery Center, LLC located?

Glastonbury Surgery Center, LLC is located at 195 Eastern Blvd, Glastonbury, CT 06033. The listed phone number is (860) 633-0003.

What is Glastonbury Surgery Center, LLC's specialty?

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

Does Glastonbury Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2002473) is associated with this NPI, valid through January 18, 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 Glastonbury Surgery Center, LLC was last updated on March 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.