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BOEHRINGER INGELHEIM OCCUPATIONAL HEALTH CLINIC
NPI 1801491246
Clinic/Center - Occupational Medicine in Ridgefield, CT

Active since December 03, 2020CLIA Certified · 2 labs
900 RIDGEBURY RD, RIDGEFIELD, CT 06877(203) 798-5605(203) 837-5105 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2022, Dec 3, 2020 (2 updates tracked since 2020).

About Boehringer Ingelheim Occupational Health Clinic NPPES

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

BOEHRINGER INGELHEIM OCCUPATIONAL HEALTH CLINIC (NPI 1801491246) is a healthcare organization registered as an occupational medicine in Ridgefield, Connecticut and active in the NPI registry since December 2020. The organization holds 2 active CLIA laboratory certificates and lists Jon Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1801491246
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NamePREMISE HEALTH OF CONNECTICUT MEDICAL, P.C.
Location Address900 RIDGEBURY RDRidgefield, CT 06877-1058
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(203) 798-5605
Fax(203) 837-5105
Organization SubpartNo
Authorized OfficialJon LeizmanPresident · (216) 479-9063
Enumeration DateDecember 3, 2020
Last NPPES UpdateAugust 15, 20222 updates tracked since enumeration
NPPES CertifiedAugust 15, 2022
✔ NPI 1801491246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
900 RIDGEBURY RD, Ridgefield, CT 06877
Open in Google Maps ↗

Other Names 1

Doing Business AsBoehringer Ingelheim Occupational Health Clinic

CLIA Laboratory Certificates CMS CLIA 2

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 07D0915324

Premise Health Of Connecticut Medical, PC · Ridgefield, CT
Active · expires May 23, 2028
CLIA Number07D0915324
Laboratory TypeIndustrial
Certificate Effective DateMay 24, 2026
Certificate Expiration DateMay 23, 2028
Laboratory DirectorDr. Leslie F. Blum
Laboratory Phone(203) 798-5223
Laboratory LocationPremise Health Of Connecticut Medical, PC900 Ridgebury Rd Aob Occupational Health Unit, Ridgefield, CT 06877
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 07D0915327

Premise Health Of Connecticut Medical, PC · Ridgefield, CT
Active · expires May 23, 2028
CLIA Number07D0915327
Laboratory TypePhysician Office
Certificate Effective DateMay 24, 2026
Certificate Expiration DateMay 23, 2028
Laboratory DirectorLeslie F. Blum
Laboratory Phone(203) 798-5223
Laboratory LocationPremise Health Of Connecticut Medical, PC900 Ridgebury Rd R&d Occupational Health Unit, Ridgefield, CT 06877
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 3

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

DR. HOLLI ERIN TIERNO PHARMD
Pharmacist
900 RIDGEBURY RD
RIDGEFIELD, CT 06877
Western Connecticut Planning Region (203) 798-9988
DR. DENNIS O'BRIEN MD
Pediatrics
900 RIDGEBURY RD
RIDGEFIELD, CT 06877
Western Connecticut Planning Region (203) 791-6466
DR. ELLEN G GOLD MD
Internal Medicine (Hematology & Oncology)
900 RIDGEBURY RD
RIDGEFIELD, CT 06877
Western Connecticut Planning Region (203) 791-6862

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 Premise Health Of Connecticut Medical, P.C.'s NPI number?

The NPI number for Premise Health Of Connecticut Medical, P.C. is 1801491246. It was assigned to this organization in the NPPES registry on December 3, 2020. The provider is doing business as Boehringer Ingelheim Occupational Health Clinic.

Where is Premise Health Of Connecticut Medical, P.C. located?

Premise Health Of Connecticut Medical, P.C. is located at 900 Ridgebury Rd, Ridgefield, CT 06877. The listed phone number is (203) 798-5605.

What is Premise Health Of Connecticut Medical, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

Does Premise Health Of Connecticut Medical, P.C. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Premise Health Of Connecticut Medical, P.C. was last updated on August 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.