CT PREVENTIVE HEALTH EDGE MEDICAL PC
NPI 1972394773
General Practice in Stamford, CT

Active since May 13, 2025
9 W BROAD ST STE 320, STAMFORD, CT 06902(917) 310-5621 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ct Preventive Health Edge Medical Pc NPPES

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

CT PREVENTIVE HEALTH EDGE MEDICAL PC (NPI 1972394773) is a healthcare organization registered as a general practice in Stamford, Connecticut and active in the NPI registry since May 2025. The organization lists Sven Karlsson, Coo, as its authorized official.

NPPES Registry Identity

NPI1972394773
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCT PREVENTIVE HEALTH EDGE MEDICAL PC
Location Address9 W BROAD ST STE 320Stamford, CT 06902-3758
Mailing Address9 W Broad St Ste 320Stamford, CT 06902-3758
Organization SubpartNo
Authorized OfficialSven KarlssonCoo · (917) 310-5621
Enumeration DateMay 13, 2025
Last NPPES UpdateMay 16, 2025
NPPES CertifiedMay 16, 2025
✔ NPI 1972394773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
9 W BROAD ST STE 320, Stamford, CT 06902

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ct Preventive Health Edge Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ct Preventive Health Edge Medical PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1841450012
1275 YORK AVE
New York, NY 10065
(212) 639-6660
✔ PECOS✔ Accepts Medicare29 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ct Preventive Health Edge Medical PC's NPI number?

The NPI number for Ct Preventive Health Edge Medical PC is 1972394773. It was assigned to this organization in the NPPES registry on May 13, 2025.

Where is Ct Preventive Health Edge Medical PC located?

Ct Preventive Health Edge Medical PC is located at 9 W Broad St Ste 320, Stamford, CT 06902. The listed phone number is (917) 310-5621.

What is Ct Preventive Health Edge Medical PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Ct Preventive Health Edge Medical PC enrolled in Medicare?

Yes. Ct Preventive Health Edge Medical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ct Preventive Health Edge Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ct Preventive Health Edge Medical PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ct Preventive Health Edge Medical PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Ct Preventive Health Edge Medical PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ct Preventive Health Edge Medical PC was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.