BOOTH HOUSE PRIMARY CARE, PLLC
NPI 1053202242
Clinic/Center - Primary Care in New Milford, CT

Active since July 14, 2025CLIA 07D2329110 · Waiver
1 BOOTH HOUSE LN # 1B, NEW MILFORD, CT 06776(860) 799-0146 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Booth House Primary Care, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOOTH HOUSE PRIMARY CARE, PLLC (NPI 1053202242) is a healthcare organization registered as a primary care in New Milford, Connecticut and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through August 21, 2027 and lists Loretta J Pace, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1053202242
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBOOTH HOUSE PRIMARY CARE, PLLC
Location Address1 BOOTH HOUSE LN # 1BNew Milford, CT 06776-3097
Mailing Address1 Booth House Ln # 1bNew Milford, CT 06776-3097
Organization SubpartNo
Authorized OfficialLoretta J PaceManaging Member · (203) 558-0020
Enumeration DateJuly 14, 2025
Last NPPES UpdateNovember 17, 2025
NPPES CertifiedNovember 17, 2025
NPI 1053202242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1 BOOTH HOUSE LN # 1B, New Milford, CT 06776

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2329110

Booth House Primary Care, PLLC · New Milford, CT
Active · expires Aug 21, 2027
CLIA Number07D2329110
Laboratory TypePractitioner Other
Certificate Effective DateAugust 22, 2025
Certificate Expiration DateAugust 21, 2027
Laboratory DirectorLoretta J. Pace
Laboratory Phone(860) 799-0146
Laboratory LocationBooth House Primary Care, PLLC1 Booth House Lane, 1B, New Milford, CT 06776
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Booth House Primary Care, PLLC's NPI number?

The NPI number for Booth House Primary Care, PLLC is 1053202242. It was assigned to this organization in the NPPES registry on July 14, 2025.

Where is Booth House Primary Care, PLLC located?

Booth House Primary Care, PLLC is located at 1 Booth House Ln # 1B, New Milford, CT 06776. The listed phone number is (860) 799-0146.

What is Booth House Primary Care, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Booth House Primary Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2329110) is associated with this NPI, valid through August 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Booth House Primary Care, PLLC was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.