FAIRFIELD SURGERY CENTER, LLC
NPI 1881804508
Clinic/Center - Ambulatory Surgical in Fairfield, CT

Active since May 23, 2007CLIA 07D0967514 · Waiver
305 BLACK ROCK TPKE, FAIRFIELD, CT 06825(203) 337-2660(203) 337-2665 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 18, 2023, Jun 7, 2019 (2 updates tracked since 2019).

About Fairfield Surgery Center, Llc NPPES

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

FAIRFIELD SURGERY CENTER, LLC (NPI 1881804508) is a healthcare organization registered as an ambulatory surgical in Fairfield, Connecticut and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through November 15, 2027 and lists Charles Wallace, Administrator, as its authorized official.

NPPES Registry Identity

NPI1881804508
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameFAIRFIELD SURGERY CENTER, LLC
Location Address305 BLACK ROCK TPKEFairfield, CT 06825-5508
Mailing Address305 Black Rock TpkeFairfield, CT 06825-5508 · (203) 337-2660 · Fax (203) 337-2665
Fax(203) 337-2665
Organization SubpartNo
Authorized OfficialCharles WallaceAdministrator · (203) 231-5595
Enumeration DateMay 23, 2007
Last NPPES UpdateJanuary 18, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2023
NPI 1881804508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in CT · 0268
305 BLACK ROCK TPKE, Fairfield, CT 06825

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 07D0967514

Fairfield Surgery Center LLC · Fairfield, CT
Active · expires Nov 15, 2027
CLIA Number07D0967514
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 16, 2025
Certificate Expiration DateNovember 15, 2027
Laboratory DirectorHenry Backe
Laboratory Phone(203) 337-2660
Laboratory LocationFairfield Surgery Center LLC305 Black Rock Turnpike, Fairfield, CT 06430
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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 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.
31 services28 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
16 services15 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.
14 services14 patients
Removal of both knee cartilages using an endoscope 29880
This procedure, also known as bilateral knee arthroscopy, involves using a small camera (endoscope) to view and remove damaged cartilage from both knees. It's a minimally invasive surgery aimed at relieving pain and improving mobility.
14 services14 patients
Removal of extensive shoulder joint tissue using an endoscope 29823
This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.
13 services13 patients

Other Providers at the Same Location NPPES 20

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

Orthopaedic Surgery
305 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Orthopaedic Surgery (Hand Surgery)
305 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Orthopaedic Surgery
305 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Orthopaedic Surgery
305 BLACK ROCK TPKE, ORTHOPAEDIC SPECIALTY GROUP
FAIRFIELD, CT 06825
Orthopaedic Surgery
305 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Physician Assistant
305 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Orthopaedic Surgery
305 BLACK ROCK TPKE, OSG
FAIRFIELD, CT 06825
Physical Medicine & Rehabilitation (Pain Medicine)
305 BLACK ROCK TPKE, ORTHOPAEDIC SPECIALTY GROUP
FAIRFIELD, CT 06825

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 Fairfield Surgery Center, LLC's NPI number?

The NPI number for Fairfield Surgery Center, LLC is 1881804508. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Fairfield Surgery Center, LLC located?

Fairfield Surgery Center, LLC is located at 305 Black Rock Tpke, Fairfield, CT 06825. The listed phone number is (203) 337-2660.

What is Fairfield Surgery Center, LLC's specialty?

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

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

Yes. A Certificate of Waiver (number 07D0967514) is associated with this NPI, valid through November 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fairfield Surgery Center, LLC was last updated on January 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.