PRIME HEALTHCARE LTC PC
NPI 1326886359
Internal Medicine in Wethersfield, CT

Active since July 15, 2024CLIA 07D0679667 · Waiver
30 JORDAN LN, WETHERSFIELD, CT 06109(860) 263-0263(860) 263-0267 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prime Healthcare Ltc Pc NPPES

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

PRIME HEALTHCARE LTC PC (NPI 1326886359) is a healthcare organization registered as an internal medicine in Wethersfield, Connecticut and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Wayne Paulekas, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1326886359
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRIME HEALTHCARE LTC PC
Location Address30 JORDAN LNWethersfield, CT 06109-1278
Mailing Address30 Jordan LnWethersfield, CT 06109-1278 · (860) 263-0263 · Fax (860) 263-0267
Fax(860) 263-0267
Organization SubpartNo
Authorized OfficialWayne PaulekasMd/owner · (860) 263-0263
Enumeration DateJuly 15, 2024
NPPES CertifiedJuly 15, 2024
NPI 1326886359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

30 JORDAN LN, Wethersfield, CT 06109

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 07D0679667

Prime Healthcare, PC · Wethersfield, CT
Active · expires Aug 31, 2026
CLIA Number07D0679667
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorWayne C. Paulekas
Laboratory Phone(860) 263-0263
Laboratory LocationPrime Healthcare, PC30 Jordan Lane, Wethersfield, CT 06109
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

Internal Medicine
30 JORDAN LN
WETHERSFIELD, CT 06109
Internal Medicine (Geriatric Medicine)
30 JORDAN LN
WETHERSFIELD, CT 06109
Internal Medicine
30 JORDAN LN
WETHERSFIELD, CT 06109
Clinic/Center (Sleep Disorder Diagnostic)
30 JORDAN LN
WETHERSFIELD, CT 06109
Family Medicine
30 JORDAN LN
WETHERSFIELD, CT 06109
Nurse Practitioner (Family)
30 JORDAN LN
WETHERSFIELD, CT 06109
Home Health
30 JORDAN LN, 3RD FLOOR
WETHERSFIELD, CT 06109
Nurse Practitioner (Adult Health)
30 JORDAN LN
WETHERSFIELD, CT 06109

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 Prime Healthcare Ltc PC's NPI number?

The NPI number for Prime Healthcare Ltc PC is 1326886359. It was assigned to this organization in the NPPES registry on July 15, 2024.

Where is Prime Healthcare Ltc PC located?

Prime Healthcare Ltc PC is located at 30 Jordan Ln, Wethersfield, CT 06109. The listed phone number is (860) 263-0263.

What is Prime Healthcare Ltc PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Prime Healthcare Ltc PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D0679667) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prime Healthcare Ltc PC was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.