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: 07D2108772
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 02-10-2026

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 5 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 47 times for 41 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 39 times for 38 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 30 times for 27 patients

Destruction of lens tissue using laser

Destruction of lens tissue using a laser is a medical procedure aimed at treating eye conditions like cataracts. A laser is employed to break down the affected lens tissue, which is then removed. This allows the insertion of an artificial lens to improve vision.

This service was performed 11 times for 11 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 27 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 18 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 847 times for 509 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 18 times for 16 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 46 times for 40 patients

Repair of tendon of upper eyelid

Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.

This service was performed 22 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
07D2108772
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
February 11, 2024
Certificate Expiration Date
February 10, 2026
Laboratory Director
MARC A. LEDERMAN
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 Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255797726
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221051491474
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 4 + 9 + 1 + 4 + 7 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1255797726 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1437194040DR. PANOS A LIVADIOTIS M.D., FACS
Individual
Specialist580 COTTAGE GROVE RD SUITE 104
BLOOMFIELD, CT 06002
(860) 286-1110
1508898339DR. MICHAEL M KRINSKY MD
Individual
Psychiatry & Neurology (Neurology)580 COTTAGE GROVE RD
BLOOMFIELD, CT 06002
(860) 243-9709
1629003918 GARY LEE LAST MD
Individual
Dermatology580 COTTAGE GROVE RD SUITE 207
BLOOMFIELD, CT 06002
(860) 242-8644
1205847241DR. ROCHELLE L COLLINS DO
Individual
Family Medicine580 COTTAGE GROVE RD SUITE 210
BLOOMFIELD, CT 06002
(860) 243-3315
1932291523DR. NATHAN ROBERTO FISCHER M.D.
Individual
Specialist580 COTTAGE GROVE RD
BLOOMFIELD, CT 06002
(860) 242-6261
1023169000DR. PATRICK RALPH FELICE M.D.
Individual
Plastic Surgery580 COTTAGE GROVE RD SUITE 103
BLOOMFIELD, CT 06002
(860) 242-0505
1710093851 RICHARD I STONE MD
Individual
Internal Medicine (Gastroenterology)580 COTTAGE GROVE RD STE 201
BLOOMFIELD, CT 06002
(860) 242-5580
1578643672STONE, GOLDENBERG & DHARAN LLP
Organization
Internal Medicine (Gastroenterology)580 COTTAGE GROVE RD SUITE 201
BLOOMFIELD, CT 06002
(860) 242-5580
1700023603 MARYBETH REILEY NORMAN APRN
Individual
Nurse Practitioner580 COTTAGE GROVE RD SUITE 205
BLOOMFIELD, CT 06002
(860) 286-2996
1710099288 AMAL DAS MD
Individual
Obstetrics & Gynecology (Gynecology)580 COTTAGE GROVE RD STE 206
BLOOMFIELD, CT 06002
(860) 242-0774
1013955012CONNECTICUT NEUROLOGY CONSULTANTS PC
Organization
Psychiatry & Neurology (Neurology)580 COTTAGE GROVE RD #106
BLOOMFIELD, CT 06002
(860) 243-9709
1952479818HARTFORD ASSOCIATES IN OB-GYN, P.C
Organization
Obstetrics & Gynecology (Gynecology)580 COTTAGE GROVE RD SUITE 208
BLOOMFIELD, CT 06002
(860) 243-9725
1346264413 GARY COHEN MD
Individual
Internal Medicine580 COTTAGE GROVE RD SUITE 107
BLOOMFIELD, CT 06002
(860) 243-8709
1326062498 SHEILA SILVERMAN MD
Individual
Internal Medicine580 COTTAGE GROVE RD SUITE 107
BLOOMFIELD, CT 06002
(860) 243-8709
1326062480 EDWIN FIERER MD
Individual
Internal Medicine580 COTTAGE GROVE RD SUITE 107
BLOOMFIELD, CT 06002
(860) 243-8709
1215958301 IRINA MUNI MD
Individual
Internal Medicine580 COTTAGE GROVE RD SUITE 107
BLOOMFIELD, CT 06002
(860) 243-8709
1992729040 RONALD SZABO MD
Individual
Internal Medicine580 COTTAGE GROVE RD SUITE 107
BLOOMFIELD, CT 06002
(860) 243-8709
1659395721 ROBERT SAFER MD
Individual
Internal Medicine580 COTTAGE GROVE RD SUITE 107
BLOOMFIELD, CT 06002
(860) 243-8709
1639261779 MARIA ANNAL PA
Individual
Physician Assistant580 COTTAGE GROVE RD SUITE 107
BLOOMFIELD, CT 06002
(860) 243-8709
1649655895 ERICA WILLIAMS APRN
Individual
Nurse Practitioner (Family)580 COTTAGE GROVE RD
BLOOMFIELD, CT 06002
(860) 243-8709

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255797726, enumerated in the NPI registry 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

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The most common procedures or services performed by this practitioner are: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, Biopsy of large bowel using a flexible endoscope, Complex removal of cataract with insertion of prosthetic lens, Destruction of lens tissue using laser, Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye, Insertion of eye fluid drainage device, Removal of cataract with insertion of prosthetic lens, Removal of polyps or growths of large bowel using an endoscope with mechanical snare, Removal of recurring cataract in lens capsule using a laser and Repair of tendon of upper eyelid.

The provider's CLIA number is 07D2108772 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on January 13, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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