Rocky Hill Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ROCKY HILL SURGERY CENTER, LLC

Practice address

1111 Cromwell Ave Ste 100
Rocky Hill, CT 06067-3449

Phone

(860) 667-9542

Fax

(860) 667-2066

NPI assigned

Jan 18, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lucille Formeister

Title

Manager

Phone

(860) 667-9542

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Listed as

Rocky Hill Surgery CenterCCN 07C0001070

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Consulting Ophthalmologists, P.C.

  • Eyewear Supplier
  • Farmington, CT
  • NPI 1598711723

  Member Of

  NPD member
• The Hospital of Central Connecticut at New Britain General and Bradley

  • General Acute Care Hospital
  • New Britain, CT
  • NPI 1053477075

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Geoffrey T Emerick, MD

  • Ophthalmology Physician
  • Farmington, CT
  • NPI 1497729388
  NPD
• Scott Daniel Walter, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Manchester, CT
  • NPI 1205127818
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548028800000",
    "number": "1083188478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AVON MEADOW LN",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014703",
            "telephone_number": "860-667-9542",
            "fax_number": "860-667-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 CROMWELL AVE STE 100",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673449",
            "telephone_number": "860-667-9542",
            "fax_number": "860-667-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY HILL SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-21",
        "status": "A",
        "authorized_official_last_name": "FORMEISTER",
        "authorized_official_first_name": "LUCILLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-667-9542"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocky Hill Imaging Center, LLC
• Rocky Hill Medical Center LLC
• Rocky Hill Pediatrics, LLC
• Rocky Hill Primary Care
• Rocky Hill Public Schools
• Rocky Hill Volunteer Ambulance Assoc. Inc
• Allison Rodgers, P.T., D.P.T
• Alicia Ana Rodriguez, APRN
• Cheryl M Roy, OTR/L
• Alfred Dean Rubino, ANP-BC

• Ambulatory Surgical Clinic/Center in Rocky Hill, CT
• Providers in Rocky Hill, CT by specialty
• Ambulatory Surgical Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.

Verify at the official NPI Registry.