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PROSPECT FAMILY MEDICINE, PC
NPI 1972664217
Family Medicine in Prospect, CT

Active since December 12, 2006CLIA 07D0969732 · Microscopy
115 WATERBURY RD., PROSPECT, CT 06712(203) 758-5660 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prospect Family Medicine, Pc NPPES

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

PROSPECT FAMILY MEDICINE, PC (NPI 1972664217) is a healthcare organization registered as a family medicine in Prospect, Connecticut and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through January 24, 2028 and lists Drew Jameson Edwards, Owner, as its authorized official.

NPPES Registry Identity

NPI1972664217
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROSPECT FAMILY MEDICINE, PC
Location Address115 WATERBURY RD.Prospect, CT 06712
Mailing Address115 Waterbury Rd., Po Box 7038Prospect, CT 06712 · (203) 758-5660
Phone(203) 758-5660
Organization SubpartNo
Authorized OfficialDrew Jameson EdwardsOwner · (203) 758-5660
Enumeration DateDecember 12, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1972664217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
115 WATERBURY RD., Prospect, CT 06712
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Other Identifiers 1

OtherG1897306CT · Oxford Group Id

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 for Provider-Performed Microscopy Procedures (PPMP) 07D0969732

Prospect Family Medicine · Prospect, CT
Active · expires Jan 24, 2028
CLIA Number07D0969732
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorWilliam J. Mcqueen
Laboratory Phone(203) 758-5660
Laboratory LocationProspect Family Medicine115 Waterbury Rd, Prospect, CT 06712
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Prospect Family Medicine, PC's NPI number?

The NPI number for Prospect Family Medicine, PC is 1972664217. It was assigned to this organization in the NPPES registry on December 12, 2006.

Where is Prospect Family Medicine, PC located?

Prospect Family Medicine, PC is located at 115 Waterbury Rd., Prospect, CT 06712. The listed phone number is (203) 758-5660.

What is Prospect Family Medicine, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Prospect Family Medicine, PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 07D0969732) is associated with this NPI, valid through January 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prospect Family Medicine, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.