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NEWTOWN MEDISPA
NPI 1598631699
Integrative Medicine in Newtown, CT

Active since October 15, 2025CLIA 07D2199864 · Waiver
34 CHURCH HILL RD, NEWTOWN, CT 06470(203) 304-9725 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Newtown Medispa NPPES

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

NEWTOWN MEDISPA (NPI 1598631699) is a healthcare organization registered as an integrative medicine in Newtown, Connecticut and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through November 11, 2026 and lists Debra Sullivan, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1598631699
Entity TypeOrganization
Primary Taxonomy202D00000X
Legal Business NameNEWTOWN MEDISPA
Location Address34 CHURCH HILL RDNewtown, CT 06470-1642
Mailing Address34 Church Hill RdNewtown, CT 06470-1642 · (203) 304-9725
Phone(203) 304-9725
Organization SubpartNo
Authorized OfficialDebra SullivanOwner/ceo · (203) 304-1076
Enumeration DateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
✔ NPI 1598631699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIntegrative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code202D00000X
Definition
A physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease – including mind, body, and spirit. Conventional and alternative methods are used to facilitate the body’s innate healing response. Appropriate consideration is given to use of less-invasive and less-harmful interventions, when possible. It also incorporates all appropriate therapeutic approaches, health care modalities, and disciplines to achieve optimal health and healing.
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
34 CHURCH HILL RD, Newtown, CT 06470
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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 07D2199864

Newtown Medispa, LLC · Newtown, CT
Active · expires Nov 11, 2026
CLIA Number07D2199864
Laboratory TypePhysician Office
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorDavid J. Hendricks
Laboratory Phone(203) 304-9725
Laboratory LocationNewtown Medispa, LLC32 Church Hill Rd, Newtown, CT 06470
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 3

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

MR. RICHARD JOHN FRANKONIS SR. RPH
Pharmacist
34 CHURCH HILL RD
NEWTOWN, CT 06470
Western Connecticut Planning Region (203) 426-9592
BRYSON MCCOOL FILBERT JR. DMD
Dentist (General Practice)
34 CHURCH HILL RD
NEWTOWN, CT 06470
Western Connecticut Planning Region (203) 426-3310
DR. DAEJIN KIM DMD
Dentist
34 CHURCH HILL RD
NEWTOWN, CT 06470
Western Connecticut Planning Region (443) 240-6382

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 Newtown Medispa's NPI number?

The NPI number for Newtown Medispa is 1598631699. It was assigned to this organization in the NPPES registry on October 15, 2025.

Where is Newtown Medispa located?

Newtown Medispa is located at 34 Church Hill Rd, Newtown, CT 06470. The listed phone number is (203) 304-9725.

What is Newtown Medispa's specialty?

The primary specialty registered for this NPI is Integrative Medicine with taxonomy code 202D00000X.

Does Newtown Medispa hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2199864) is associated with this NPI, valid through November 11, 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 Newtown Medispa was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.