CIVIC NORTH HAVEN, LLC
NPI 1164196283
Clinic/Center - Infusion Therapy in North Haven, CT

Active since August 03, 2021CLIA 07D2276952 · Waiver
127 WASHINGTON AVE STE 4, NORTH HAVEN, CT 06473(203) 883-0038(203) 724-4838 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Civic North Haven, Llc NPPES

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

CIVIC NORTH HAVEN, LLC (NPI 1164196283) is a healthcare organization registered as an infusion therapy in North Haven, Connecticut and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through February 16, 2027 and lists Barry D Stein, Partner, as its authorized official.

NPPES Registry Identity

NPI1164196283
Entity TypeOrganization
Primary Taxonomy261QI0500X
Legal Business NameCIVIC NORTH HAVEN, LLC
Location Address127 WASHINGTON AVE STE 4North Haven, CT 06473-1715
Mailing Address249 Danbury RdWilton, CT 06897-4010 · (203) 883-0038 · Fax (203) 724-4838
Fax(203) 724-4838
Organization SubpartNo
Authorized OfficialBarry D SteinPartner · (203) 883-0038
Enumeration DateAugust 3, 2021
NPPES CertifiedAugust 3, 2021
✔ NPI 1164196283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Infusion TherapyAmbulatory Health Care Facilities
Taxonomy Code261QI0500X
127 WASHINGTON AVE STE 4, North Haven, CT 06473

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Civic North Haven, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Civic North Haven, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1366118069
1078 W MAIN ST
Waterbury, CT 06708
(203) 757-1585
✔ PECOS15 mi
Nurse Practitioner
NPI 1215454863
220 FARMINGTON AVE
Farmington, CT 06032
(203) 883-0038
✔ PECOS24 mi
Nurse Practitioner
NPI 1851957831
249 DANBURY RD
Wilton, CT 06897
(203) 883-0038
✔ PECOS33 mi
Nurse Practitioner
NPI 1871365023
292 LONG RIDGE RD STE 104
Stamford, CT 06902
(203) 276-8575
✔ PECOS42 mi
Anesthesiology
NPI 1871511865
32 NORTH WAY ROMAR ANESTHESIA
Chappaqua, NY 10514
(914) 924-0916
✔ PECOS49 mi
Anesthesiology
NPI 1952318487
5502A BRUSH HOLLOW RD
Westbury, NY 11590
(516) 699-8700
✔ PECOS56 mi
Nurse Practitioner
NPI 1467950741
189 QUINCY ST
Brockton, MA 02302
(508) 588-6700
✔ PECOS108 mi
Nurse Practitioner
NPI 1972953032
9000 N MAIN ST STE G-36
Englewood, OH 45415
(937) 293-1622
✔ PECOS✔ Accepts Medicare609 mi
Nurse Practitioner
NPI 1275924169
8144 WALNUT HILL LN STE 1350
Dallas, TX 75231
(972) 598-0000
✔ PECOS✔ Accepts Medicare1,439 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 07D2276952

Civic North Haven · North Haven, CT
Active · expires Feb 16, 2027
CLIA Number07D2276952
Laboratory TypeInfusion Center
Certificate Effective DateFebruary 17, 2025
Certificate Expiration DateFebruary 16, 2027
Laboratory DirectorLee Ann Purtthipatkool Aprn
Laboratory Phone(203) 883-0038
Laboratory LocationCivic North Haven127 Washington Ave, West Bldg, Ste 4, North Haven, CT 06473
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 Civic North Haven, LLC's NPI number?

The NPI number for Civic North Haven, LLC is 1164196283. It was assigned to this organization in the NPPES registry on August 3, 2021.

Where is Civic North Haven, LLC located?

Civic North Haven, LLC is located at 127 Washington Ave Ste 4, North Haven, CT 06473. The listed phone number is (203) 883-0038.

What is Civic North Haven, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.

Is Civic North Haven, LLC enrolled in Medicare?

Yes. Civic North Haven, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Civic North Haven, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Civic North Haven, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7) and Anesthesiology (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Civic North Haven, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2276952) is associated with this NPI, valid through February 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Civic North Haven, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Civic North Haven, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Civic North Haven, LLC was last updated on August 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.