Summer Street ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0299 Issued in CT

Legal business name

SUMMER STREET ASC LLC

Practice address

1290 Summer St
Stamford, CT 06905-5360

Phone

(914) 556-6266

NPI assigned

Oct 6, 2015

Last updated

Dec 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Vulcano

Title

Chief Administrative Officer

Phone

(914) 556-6266

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Listed as

Specialty Surgery Center of ConnecticutCCN 07C0001064

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1316317134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SUMMER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 SUMMER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055360",
            "telephone_number": "914-556-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMER STREET ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "VULCANO",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "914-556-6266",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CT",
            "license": "0299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Cecilia Sullivan, MSN, APRN
• Michael Robert Sullivan
• Sean Raymond Sullivan, DPT, ATC
• Melissa Grace Sumadchat, BCBA
• Summer Pediatrics LLC
• Allison Summer, BCBA
• Alan K Summerfield, APRN, CRNA
• Summit Sport Chiropractic
• Ying Sung, D.D.S.
• Supportive ABA Therapy CT LLC

• Ambulatory Surgical Clinic/Center in Stamford, CT
• Providers in Stamford, 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 Dec 21, 2020; 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.