1. Home
  2. Directory
  3. Connecticut
  4. Stamford
  5. Family Medicine
  6. NPI Profile

WELLNESS STAMFORD, INC.
NPI 1083198196
Family Medicine in Stamford, CT

Active since September 24, 2018CLIA 07D2162914 · Waiver
75 TRESSER BLVD, STAMFORD, CT 06901(646) 894-3881 Get Directions Write a Review

NPPES record last updated: September 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellness Stamford, Inc. NPPES

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

WELLNESS STAMFORD, INC. (NPI 1083198196) is a healthcare organization registered as a family medicine in Stamford, Connecticut and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through March 4, 2027 and lists Peter Daugavietis, Owner, as its authorized official.

NPPES Registry Identity

NPI1083198196
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLNESS STAMFORD, INC.
Location Address75 TRESSER BLVDStamford, CT 06901-3329
Mailing Address70 Danbury RdWilton, CT 06897-4408
Phone(646) 894-3881
Organization SubpartNo
Authorized OfficialPeter DaugavietisOwner · (646) 894-3881
Enumeration DateSeptember 24, 2018
✔ NPI 1083198196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
75 TRESSER BLVD, Stamford, CT 06901
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 07D2162914

Wellness Stamford, Inc · Stamford, CT
Active · expires Mar 4, 2027
CLIA Number07D2162914
Laboratory TypePractitioner Other
Certificate Effective DateMarch 5, 2025
Certificate Expiration DateMarch 4, 2027
Laboratory DirectorMoha Ahuja
Laboratory Phone(646) 894-3881
Laboratory LocationWellness Stamford, Inc764 Washington Blvd, Stamford, CT 06901
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TAL BARUCH DELMAN M.D.
Radiology (Diagnostic Radiology)
75 TRESSER BLVD, APT 476
STAMFORD, CT 06901
Western Connecticut Planning Region (952) 595-1100
ANNA KANG
Dentist (General Practice)
75 TRESSER BLVD
STAMFORD, CT 06901
Western Connecticut Planning Region (203) 883-9986
DR. MATTHEW C LOPRESTI D.D.S.
Dentist (General Practice)
75 TRESSER BLVD
STAMFORD, CT 06901
Western Connecticut Planning Region (203) 883-9986
JONATHAN MICHAEL LOPRESTI DDS
Dentist
75 TRESSER BLVD
STAMFORD, CT 06901
Western Connecticut Planning Region (203) 883-9945

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 Wellness Stamford, Inc.'s NPI number?

The NPI number for Wellness Stamford, Inc. is 1083198196. It was assigned to this organization in the NPPES registry on September 24, 2018.

Where is Wellness Stamford, Inc. located?

Wellness Stamford, Inc. is located at 75 Tresser Blvd, Stamford, CT 06901. The listed phone number is (646) 894-3881.

What is Wellness Stamford, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Wellness Stamford, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2162914) is associated with this NPI, valid through March 4, 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 Wellness Stamford, Inc. was last updated on September 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.