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NOVA PHYSICIAN GROUP PLLC
NPI 1093561136
Clinic/Center - Primary Care in Waterbury, CT

Active since April 29, 2024
2000 N MAIN ST, WATERBURY, CT 06704(203) 951-8306(475) 215-3374 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2025, Jul 24, 2024, Jul 12, 2024 and 1 more (4 updates tracked since 2024).

About Nova Physician Group Pllc NPPES

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

NOVA PHYSICIAN GROUP PLLC (NPI 1093561136), doing business as Oak Street Health Physicians Group Of Connecticut, is a healthcare organization registered as a primary care in Waterbury, Connecticut and active in the NPI registry since April 2024. The organization lists Terrence Morton, Sr. Medical Director, as its authorized official.

NPPES Registry Identity

NPI1093561136
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameNOVA PHYSICIAN GROUP PLLC
Location Address2000 N MAIN STWaterbury, CT 06704-2364
Mailing AddressPo Box 745254Atlanta, GA 30374-5254 · (773) 352-1515 · Fax (312) 929-0373
Phone(203) 951-8306
Fax(475) 215-3374
Organization SubpartNo
Authorized OfficialTerrence MortonSr. Medical Director · (773) 352-1515
Enumeration DateApril 29, 2024
Last NPPES UpdateDecember 15, 20254 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1093561136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2000 N MAIN ST, Waterbury, CT 06704
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Other Names 1

Doing Business AsOak Street Health Physicians Group Of Connecticut

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.

HIU WING CHAN
Pharmacist
2000 N MAIN ST
WATERBURY, CT 06704
Naugatuck Valley Planning Region (203) 591-3081
CORNIETA WHITFIELD APRN
Nurse Practitioner (Primary Care)
2000 N MAIN ST
WATERBURY, CT 06704
Naugatuck Valley Planning Region (475) 306-7778
CONNECTICUT CVS PHARMACY, L.L.C.
Pharmacy
2000 N MAIN ST
WATERBURY, CT 06704
Naugatuck Valley Planning Region (203) 591-3006
NELLY BELLA MALANGKO
Pharmacist
2000 N MAIN ST
WATERBURY, CT 06704
Naugatuck Valley Planning Region (203) 591-3081

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 Nova Physician Group PLLC's NPI number?

The NPI number for Nova Physician Group PLLC is 1093561136. It was assigned to this organization in the NPPES registry on April 29, 2024. The provider is doing business as Oak Street Health Physicians Group of Connecticut.

Where is Nova Physician Group PLLC located?

Nova Physician Group PLLC is located at 2000 N Main St, Waterbury, CT 06704. The listed phone number is (203) 951-8306.

What is Nova Physician Group PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Nova Physician Group PLLC was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.