River Valley ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0000336 Issued in CT

Legal business name

RIVER VALLEY ASC LLC

Practice address

45 Salem Tpke
Norwich, CT 06360-6533

Phone

(860) 859-9948

NPI assigned

Nov 22, 2012

Last updated

Sep 29, 2021By 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

Jennifer Gale

Title

Adminstrator

Phone

(860) 859-9948

Specialties & licenses 1

Addresses

Other names 1

• River Valley ASC, LLC Other name

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Listed as

River Valley Ambulatory Surgical CenterCCN 07C0001059

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

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.

• Danielle Provoncha, CRNA

  • Certified Registered Nurse Anesthetist
  • New London, CT
  • NPI 1619373248
  NPD (past)
• Stephen F. Scarangella, M.D.

  • Orthopaedic Hand Surgery Physician
  • Willimantic, CT
  • NPI 1952359515
  NPD (past)

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

{
    "created_epoch": "1353542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1821332370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SALEM TPKE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063606533",
            "telephone_number": "860-859-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SALEM TPKE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063606533",
            "telephone_number": "860-859-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-22",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "GALE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "860-859-9948"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CT",
            "license": "0000336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Valley ASC, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Leah Ring, FNP-BC
• Robert Lewis Ringering, D.O.
• Carol Rinzler, CNM
• Shannon Rios, LCSW
• Jessica IV Ristorucci
• Elizabeth Rivera, LMFT
• Suzanne Margaret Roberson
• James Clarence Robert
• Lindsay Sloane Roberts, MD
• Sarah Jean Robertson, MSN, NP-C

• Ambulatory Surgical Clinic/Center in Norwich, CT
• Providers in Norwich, 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 Sep 29, 2021; 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.