Glastonbury Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GLASTONBURY SURGERY CENTER, LLC

Practice address

195 Eastern Blvd
Glastonbury, CT 06033-1208

Phone

(860) 633-0003

Fax

(860) 633-2764

NPI assigned

Dec 14, 2009

Organization subpart

No

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

Authorized official

Name

Cheryl Parent

Title

Administrator

Phone

(860) 633-0003

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Listed as

Glastonbury Surgery CenterCCN 07C0001055

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.

• Hartford Hospital

  • Surgery Physician
  • Hartford, CT
  • NPI 1407806391

  Member Of

  NPD member
• Orthopedic Associates of Hartford,PC

  • Orthopaedic Surgery Physician
  • Windsor, CT
  • NPI 1104933282

  Member Of

  NPD member

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1669701157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 EASTERN BLVD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331208",
            "telephone_number": "860-633-0003",
            "fax_number": "860-633-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 EASTERN BLVD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331208",
            "telephone_number": "860-633-0003",
            "fax_number": "860-633-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASTONBURY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "PARENT",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "860-633-0003"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glastonbury Podiatry Group
• Glastonbury Psychiatric Care LLC
• Glastonbury Psychological Associates, PC
• Glastonbury Public Schools
• Glastonbury Smiles, PC
• Glastonbury Vascular Associates PC
• Glastonbury Volunteer Ambulance Association Inc
• Richard Dennis Glisson, D.O.
• Gloria Annitto Olgas Lingerie
• Camila E Gonzalez Ribadeneira, PHARMD

• Ambulatory Surgical Clinic/Center in Glastonbury, CT
• Providers in Glastonbury, 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 Mar 27, 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.