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PREMISE HEALTH OF CONNECTICUT MEDICAL PC
NPI 1942780234
Clinic/Center - Primary Care in Groton, CT

Active since August 16, 2018CLIA 07D2154934 · Waiver
32 CHICAGO AVE, GROTON, CT 06340(860) 629-8272(860) 629-8281 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2026, Aug 15, 2022, Jan 13, 2021 and 2 more (5 updates tracked since 2018).

About Premise Health Of Connecticut Medical Pc NPPES

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

PREMISE HEALTH OF CONNECTICUT MEDICAL PC (NPI 1942780234), doing business as Electric Boat Family Health Center, is a healthcare organization registered as a primary care in Groton, Connecticut and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through September 19, 2026 and lists Edward Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1942780234
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePREMISE HEALTH OF CONNECTICUT MEDICAL PC
Location Address32 CHICAGO AVEGroton, CT 06340-4952
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(860) 629-8272
Fax(860) 629-8281
Organization SubpartNo
Authorized OfficialEdward SchwartzPresident · (844) 407-7557
Enumeration DateAugust 16, 2018
Last NPPES UpdateFebruary 4, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1942780234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
32 CHICAGO AVE, Groton, CT 06340
Open in Google Maps ↗

Other Names 1

Doing Business AsElectric Boat Family Health Center

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 07D2154934

Premise Health Of Connecticut Medical, PC · Groton, CT
Active · expires Sep 19, 2026
CLIA Number07D2154934
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2024
Certificate Expiration DateSeptember 19, 2026
Laboratory DirectorPaqui Motyl
Laboratory Phone(860) 629-8272
Laboratory LocationPremise Health Of Connecticut Medical, PC32 Chicago Ave, 2nd Floor, Groton, CT 06340
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 9

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

ERIKA ROHDIN
Pharmacist
32 CHICAGO AVE
GROTON, CT 06340
Southeastern Connecticut Planning Region (888) 578-3457
NORTHLAND HEARING CENTER, INC.
Clinic/Center (Hearing and Speech)
32 CHICAGO AVE
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 629-0781
KAITLYN ODONNELL PHARM.D.
Pharmacist
32 CHICAGO AVE
GROTON, CT 06340
Southeastern Connecticut Planning Region (888) 578-3457
CASEY HALL PHARMD, RPH
Pharmacist
32 CHICAGO AVE
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 629-8272
JASON JACK CLOSE PHARMD
Pharmacist
32 CHICAGO AVE
GROTON, CT 06340
Southeastern Connecticut Planning Region (888) 578-3457
MS. BETHANY ADELINE GODDIESS AU. D. CCC-A
Audiologist-Hearing Aid Fitter
32 CHICAGO AVE
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 629-0781
WALGREEN CO
Pharmacy
32 CHICAGO AVE
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 405-0771
CRYSTAL LYNN RUZZO APRN
Nurse Practitioner (Family)
32 CHICAGO AVE
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 629-8272

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 PC's NPI number?

The NPI number for Premise Health Of Connecticut Medical PC is 1942780234. It was assigned to this organization in the NPPES registry on August 16, 2018. The provider is doing business as Electric Boat Family Health Center.

Where is Premise Health Of Connecticut Medical PC located?

Premise Health Of Connecticut Medical PC is located at 32 Chicago Ave, Groton, CT 06340. The listed phone number is (860) 629-8272.

What is Premise Health Of Connecticut Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Premise Health Of Connecticut Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2154934) is associated with this NPI, valid through September 19, 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 Premise Health Of Connecticut Medical PC was last updated on February 4, 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.