Organization Active NPI

Orthopedic Associates Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Rocky Hill, CT
National Provider Identifier
1457370447
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ORTHOPEDIC ASSOCIATES SURGERY CENTER LLC
Practice address
150 Enterprise Dr
Rocky Hill, CT 06067-3579
Phone
(860) 529-0295
Fax
(860) 529-2390
NPI assigned
Jul 19, 2006
Last updated
Apr 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Thomas Peter Acampora
Title
Administrator
Phone
(860) 529-0295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

150 Enterprise Dr
Rocky Hill, CT 06067-3579

Mailing address

505 Willard Ave
Building 3
Newington, CT 06111-2650
Phone (860) 665-0174

Other identifiers 1

IdentifierTypeStateIssuer
004246874MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040818000831 CT Part B Supplier - Ambulatory Surgical Center 9739152638 Practice locations: Rocky Hill, CT

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Orthopedic Associates Surgery CenterCCN 07C0001037
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D1027086Orthopedic Associates Surgery Center150 Enterprise Dr, Rocky Hill, CT 06067Certificate of waiverJun 22, 2028

National Provider Directory

National Provider Directory

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1457370447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 WILLARD AVE",
            "address_2": "BUILDING 3",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112650",
            "telephone_number": "860-665-0174",
            "fax_number": "860-667-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ENTERPRISE DR",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673579",
            "telephone_number": "860-529-0295",
            "fax_number": "860-529-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC ASSOCIATES SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "ACAMPORA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "860-529-0295"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004246874",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.