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NEW WAVE MEDICAL GROUP PA
NPI 1639816614
Clinic/Center in East Haven, CT

Active since May 19, 2022
25 STEVENS STREET, EAST HAVEN, CT 06512(844) 327-2199(844) 337-7304 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About New Wave Medical Group Pa NPPES

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

NEW WAVE MEDICAL GROUP PA (NPI 1639816614) is a healthcare organization registered as a clinic/center in East Haven, Connecticut and active in the NPI registry since May 2022. The organization lists Dalia Elizalde, Manager, as its authorized official.

NPPES Registry Identity

NPI1639816614
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameNEW WAVE MEDICAL GROUP PA
Location Address25 STEVENS STREETEast Haven, CT 06512-4744
Mailing Address25 Stevens StreetEast Haven, CT 06512-4744 · (844) 327-2199 · Fax (844) 337-7304
Phone(844) 327-2199
Fax(844) 337-7304
Organization SubpartNo
Authorized OfficialDalia ElizaldeManager · (844) 327-2199
Enumeration DateMay 19, 2022
NPPES CertifiedMay 4, 2022
✔ NPI 1639816614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
25 STEVENS STREET, East Haven, CT 06512
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Other Providers at the Same Location NPPES

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

PRESTIGE MEDICAL CONCIERGE PLLC
Clinic/Center
25 STEVENS STREET
EAST HAVEN, CT 06512
South Central Connecticut Planning Region (475) 837-8701

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 New Wave Medical Group PA's NPI number?

The NPI number for New Wave Medical Group PA is 1639816614. It was assigned to this organization in the NPPES registry on May 19, 2022.

Where is New Wave Medical Group PA located?

New Wave Medical Group PA is located at 25 Stevens Street, East Haven, CT 06512. The listed phone number is (844) 327-2199.

What is New Wave Medical Group PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for New Wave Medical Group PA was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.