CONSTITUTION SURGERY CENTER EAST LLC NPI 1588681373

NPI Information

  • NPI: 1588681373
  • Provider Name: CONSTITUTION SURGERY CENTER EAST LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 174 CROSS RD
    WATERFORD, CT
    ZIP 06385
  • Phone: (860) 701-0140

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NPI Details

CONSTITUTION SURGERY CENTER EAST LLC is an ambulatory surgical clinic center in Waterford, CT. CONSTITUTION SURGERY CENTER EAST LLC NPI is 1588681373. The provider is registered as an organization entity type.

The provider's business location address is:

174 CROSS RD
WATERFORD, CT
ZIP 06385-215
Phone: (860) 701-0140
Fax: (860) 701-0161

The provider's authorized official is Kris Mineau .
The authorized official title is Administrator and has the following contact phone number (860) 667-1815.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, bupivacaine liposome, 1 mg (HCPCS:C9290)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Destruction of peripheral nerve or branch (HCPCS:64640)
  • Destruction of nerve branches of knee using imaging guidance (HCPCS:64624)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Release of wrist ligament using an endoscope (HCPCS:29848)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • Removal of bone joints between wrist and fingers (HCPCS:25447)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Transfer of tendon to back of hand (HCPCS:26480)
  • Removal of connective tissue of palm and release of finger, first digit (HCPCS:26123)
  • Removal of growth of tendon finger or hand (HCPCS:26160)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Insertion of eye fluid drainage device (HCPCS:66183)

The enumeration date for this NPI number is 7/16/2006 and was last updated on 5/18/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical0272CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1004219475MEDICAIDCONNECTICUT
2490000227MEDICARE UPINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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