Active NPI
Naugatuck Valley Endoscopy Center, LLC
- Ambulatory Surgical Clinic/Center
- Waterbury, CT
National Provider Identifier
1043283906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- NAUGATUCK VALLEY ENDOSCOPY CENTER, LLC
- Practice address
- 1312 West Main St
Waterbury, CT 06708 - Phone
- (203) 756-6422
- Fax
- (203) 756-2448
- NPI assigned
- Feb 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Youd
- Title
- Administrator
- Phone
- (203) 346-2207
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary | ||
| Endoscopy Clinic/Center | 261QE0800X | 0284 | CT |
Addresses
Primary practice location
1312 West Main St
Waterbury, CT 06708
Mailing address
1312 West Main St
Waterbury, CT 06708
Phone (203) 756-6422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004247864 | Medicaid | CT |
Other names 1
- Waterbury Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Naugatuck Valley Endoscopy Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D1028869 | Naugatuck Valley Endoscopy Center | Certificate of waiver | Aug 3, 2026 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Gastroenterology Physician
- Waterbury, CT
- NPI 1144350141
Member Of
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Waterbury, CT
- NPI 1275506214
-
- Gastroenterology Physician
- Prospect, CT
- NPI 1356313944
-
- Gastroenterology Physician
- Prospect, CT
- NPI 1861538431
-
- Orthopaedic Surgery Physician
- Waterbury, CT
- NPI 1568563435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781222400000",
"number": "1043283906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1312 WEST MAIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06708",
"telephone_number": "203-756-6422",
"fax_number": "203-756-2448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 WEST MAIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06708",
"telephone_number": "203-756-6422",
"fax_number": "203-756-2448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAUGATUCK VALLEY ENDOSCOPY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-10",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A",
"authorized_official_last_name": "YOUD",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "203-346-2207"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QE0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Endoscopy",
"state": "CT",
"license": "0284",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004247864",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Waterbury Surgery Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Waterbury Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waterbury, CT
- Alyssa Lee Natalino, R.D.H
- National Vision Inc
- Naugatuck Valley Computerized Imaging
- Naugatuck Valley Counseling and Med Management
- Naugatuck Valley Ear, Nose and Throat Associates, LLC
- Naugatuck Valley Gastroenterology Consultants LLC
- Naugatuck Valley MRI LLC
- Naugatuck Valley OB-GYN
- Naugatuck Valley OBGYN
- Naugatuck Valley Radiological Associates PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.