MIDDLESEX ENDOSCOPY CENTER LLC
NPI 1972522985
Clinic/Center - Ambulatory Surgical in Middletown, CT

NPI Status: Active since July 19, 2006

Contact Information

410 SAYBROOK RD
SUITE 200
MIDDLETOWN, CT
ZIP 06457
Phone: (860) 343-1240
Fax: (860) 343-1250

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 07D1036410
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 02-03-2027

About MIDDLESEX ENDOSCOPY CENTER LLC

This page provides the complete NPI Profile along with additional information for Middlesex Endoscopy Center Llc, a provider established in Middletown, Connecticut operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1972522985 assigned on July 2006. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Mr. Kris Mineau (Administrator)

NPI
1972522985
Provider Name
MIDDLESEX ENDOSCOPY CENTER LLC
Entity Type
Organization
Location Address
410 SAYBROOK RD SUITE 200 MIDDLETOWN, CT 06457
Location Phone
(860) 343-1240
Location Fax
(860) 343-1250
Mailing Address
505 WILLARD AVE BUILDING 3 NEWINGTON, CT 06111
Mailing Phone
(860) 665-0174
Mailing Fax
(860) 343-1250
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-19-2006
Last Update Date
08-17-2007
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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

MR. KRIS MINEAU

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(860) 665-0174

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.

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

This service was performed 30 times for 30 patients

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 205 times for 199 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 337 times for 337 patients

Colorectal cancer screening; colonoscopy on individual at high risk

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

This service was performed 63 times for 63 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

This service was performed 28 times for 27 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

This service was performed 30 times for 30 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

This service was performed 326 times for 324 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
07D1036410
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
February 04, 2025
Certificate Expiration Date
February 03, 2027
Laboratory Director
GREGOR J. KOOBATIAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Middlesex Endoscopy 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 1972522985, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 4 + 2 + 1 + 0 + 2 + 4 + 9 + 1 + 6 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1972522985.

Other Providers at the Same Location


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

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
410 SAYBROOK RD, SUITE 100
MIDDLETOWN, CT 06457
Internal Medicine (Gastroenterology)
410 SAYBROOK RD, SUITE 201
MIDDLETOWN, CT 06457
Physical Therapist
410 SAYBROOK RD
MIDDLETOWN, CT 06457
Dentist (General Practice)
410 SAYBROOK RD, SUITE 202
MIDDLETOWN, CT 06457
Physical Therapist (Orthopedic)
410 SAYBROOK RD
MIDDLETOWN, CT 06457
Orthopaedic Surgery
410 SAYBROOK RD, STE 100
MIDDLETOWN, CT 06457
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
410 SAYBROOK RD, SUITE 100
MIDDLETOWN, CT 06457
Orthopaedic Surgery (Hand Surgery)
410 SAYBROOK RD, MIDDLETOWN
MIDDLETOWN, CT 06457
Orthopaedic Surgery (Foot and Ankle Surgery)
410 SAYBROOK RD, SUITE 100
MIDDLETOWN, CT 06457
Orthopaedic Surgery
410 SAYBROOK RD, SUITE 100
MIDDLETOWN, CT 06457
Dentist (General Practice)
410 SAYBROOK RD, SUITE 203
MIDDLETOWN, CT 06457
Physician Assistant (Medical)
410 SAYBROOK RD, SUITE 100
MIDDLETOWN, CT 06457
Physician Assistant
410 SAYBROOK RD, SUITE 201
MIDDLETOWN, CT 06457
Specialist
410 SAYBROOK RD, SUITE 100
MIDDLETOWN, CT 06457
Dentist
410 SAYBROOK RD
MIDDLETOWN, CT 06457
Physical Therapist
410 SAYBROOK RD, SUITE 100
MIDDLETOWN, CT 06457
Physical Therapist
410 SAYBROOK RD
MIDDLETOWN, CT 06457
Physician Assistant
410 SAYBROOK RD, SUITE 201
MIDDLETOWN, CT 06457
Physician Assistant
410 SAYBROOK RD, SUITE 201
MIDDLETOWN, CT 06457
Internal Medicine (Gastroenterology)
410 SAYBROOK RD, SUITE 201
MIDDLETOWN, CT 06457

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972522985, enumerated as an "organization" on July 19, 2006.

The provider is located at 410 SAYBROOK RD SUITE 200 MIDDLETOWN, CT 06457 and the phone number is (860) 343-1240.

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