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PRIVATE MEDICAL CONNECTICUT PC
NPI 1457298374
Internal Medicine in Greenwich, CT

Active since April 29, 2026CLIA 07D2346796 · Waiver
50 OLD FIELD POINT RD FL 3, GREENWICH, CT 06830(203) 489-7333 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Private Medical Connecticut Pc NPPES

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

PRIVATE MEDICAL CONNECTICUT PC (NPI 1457298374) is a healthcare organization registered as an internal medicine in Greenwich, Connecticut and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through July 6, 2028 and lists Jordan Shlain, Managing Partner/owner, as its authorized official.

NPPES Registry Identity

NPI1457298374
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRIVATE MEDICAL CONNECTICUT PC
Location Address50 OLD FIELD POINT RD FL 3Greenwich, CT 06830-6157
Mailing Address3580 California St Ste 101San Francisco, CA 94118-1716 · (415) 830-3090
Phone(203) 489-7333
Organization SubpartNo
Authorized OfficialJordan ShlainManaging Partner/owner · (415) 830-3090
Enumeration DateApril 29, 2026
NPPES CertifiedApril 29, 2026
✔ NPI 1457298374 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.
50 OLD FIELD POINT RD FL 3, Greenwich, CT 06830
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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 07D2346796

Private Medical Connecticut PC · Greenwich, CT
Active · expires Jul 6, 2028
CLIA Number07D2346796
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2026
Certificate Expiration DateJuly 6, 2028
Laboratory DirectorDavid Popiel
Laboratory Phone(203) 489-7333
Laboratory LocationPrivate Medical Connecticut PC50 Old Field Point Road, 3rd Floor, Greenwich, CT 06830
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 6

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

ANASTASIA JOSEPHINE HEAVEY LAMBRECHT RN
Registered Nurse
50 OLD FIELD POINT RD FL 3
GREENWICH, CT 06830
Western Connecticut Planning Region (415) 808-5555
DANA BARBIERI APRN
Nurse Practitioner
50 OLD FIELD POINT RD FL 3
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 862-4000
BIANCA PATEL PA-C
Physician Assistant
50 OLD FIELD POINT RD FL 3
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 862-4000
JUSTINE Y. SHIN
Physician Assistant
50 OLD FIELD POINT RD FL 3
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 862-4000
MRS. KAITLYN RAHTELLI PA-C
Physician Assistant (Medical)
50 OLD FIELD POINT RD FL 3
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 862-4000
FELICIA MARIE COSTANZO FNP-BC
Nurse Practitioner (Family)
50 OLD FIELD POINT RD FL 3
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 862-4000

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 Private Medical Connecticut PC's NPI number?

The NPI number for Private Medical Connecticut PC is 1457298374. It was assigned to this organization in the NPPES registry on April 29, 2026.

Where is Private Medical Connecticut PC located?

Private Medical Connecticut PC is located at 50 Old Field Point Rd Fl 3, Greenwich, CT 06830. The listed phone number is (203) 489-7333.

What is Private Medical Connecticut PC's specialty?

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

Does Private Medical Connecticut PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2346796) is associated with this NPI, valid through July 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Private Medical Connecticut PC was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.