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MATRIX PERSONALIZED MEDICINE LLC
NPI 1194454603
Family Medicine in New Canaan, CT

Active since June 09, 2022CLIA 07D2129177 · Waiver
45 GROVE ST, NEW CANAAN, CT 06840(203) 920-1772 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matrix Personalized Medicine Llc NPPES

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

MATRIX PERSONALIZED MEDICINE LLC (NPI 1194454603) is a healthcare organization registered as a family medicine in New Canaan, Connecticut and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through April 12, 2027 and lists Lawrence Leibowitz, Md, as its authorized official.

NPPES Registry Identity

NPI1194454603
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMATRIX PERSONALIZED MEDICINE LLC
Location Address45 GROVE STNew Canaan, CT 06840-5330
Mailing Address45 Grove StNew Canaan, CT 06840-5330
Phone(203) 920-1772
Organization SubpartNo
Authorized OfficialLawrence LeibowitzMd · (203) 920-1772
Enumeration DateJune 9, 2022
NPPES CertifiedJune 9, 2022
✔ NPI 1194454603 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.

45 GROVE ST, New Canaan, CT 06840
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 07D2129177

Matrix Personalized Medicine, LLC · New Canaan, CT
Active · expires Apr 12, 2027
CLIA Number07D2129177
Laboratory TypePhysician Office
Certificate Effective DateApril 13, 2025
Certificate Expiration DateApril 12, 2027
Laboratory DirectorLarry Leibowitz
Laboratory Phone(203) 493-6633
Laboratory LocationMatrix Personalized Medicine, LLC45 Grove St, New Canaan, CT 06840
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

LENKA KNAG
Counselor (Mental Health)
45 GROVE ST, STUDIO G2
NEW CANAAN, CT 06840
Western Connecticut Planning Region (929) 461-9590
MRS. ELAINE HRISTON-ZECH RPT
Physical Therapist
45 GROVE ST
NEW CANAAN, CT 06840
Western Connecticut Planning Region (203) 966-5752
MR. DUSTIN MICHAEL COOK MSPT
Physical Therapist
45 GROVE ST
NEW CANAAN, CT 06840
Western Connecticut Planning Region (203) 966-5752
CASEY HELEN POTETZ LAC.
Acupuncturist
45 GROVE ST
NEW CANAAN, CT 06840
Western Connecticut Planning Region (860) 836-4890
NEW CANAAN PHYSICAL THERAPY
Physical Therapist
45 GROVE ST
NEW CANAAN, CT 06840
Western Connecticut Planning Region (203) 966-5752
MIHAELA M MACK RPT
Physical Therapist
45 GROVE ST
NEW CANAAN, CT 06840
Western Connecticut Planning Region (203) 966-5752
LUCAS ROGER SILVA DPT
Physical Therapist
45 GROVE ST
NEW CANAAN, CT 06840
Western Connecticut Planning Region (203) 966-5752

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 Matrix Personalized Medicine LLC's NPI number?

The NPI number for Matrix Personalized Medicine LLC is 1194454603. It was assigned to this organization in the NPPES registry on June 9, 2022.

Where is Matrix Personalized Medicine LLC located?

Matrix Personalized Medicine LLC is located at 45 Grove St, New Canaan, CT 06840. The listed phone number is (203) 920-1772.

What is Matrix Personalized Medicine LLC's specialty?

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

Does Matrix Personalized Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2129177) is associated with this NPI, valid through April 12, 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 Matrix Personalized Medicine LLC was last updated on June 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.