Active NPI
Nova MD Wellness Clinic PLLC
- Internal Medicine Physician
- Norwalk, CT
National Provider Identifier
1205794252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NOVA MD WELLNESS CLINIC PLLC
- Practice address
- 148 East Ave Ste 1G1
Norwalk, CT 06851-5727 - Phone
- (203) 684-2050
- Fax
- (203) 941-1427
- NPI assigned
- Jan 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jasmina Krstic, MD
- Title
- President
- Phone
- (347) 326-0623
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
148 East Ave Ste 1G1
Norwalk, CT 06851-5727
Mailing address
148 East Ave Ste 1G1
Norwalk, CT 06851-5727
Phone (203) 684-2050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D2296807 | Nova MD Wellness Clinic PLLC | Certificate of waiver | Jan 4, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Stamford, CT
- NPI 1801118252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767916800000",
"number": "1205794252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 EAST AVE STE 1G1",
"city": "NORWALK",
"state": "CT",
"postal_code": "068515727",
"telephone_number": "203-684-2050",
"fax_number": "203-941-1427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 EAST AVE STE 1G1",
"city": "NORWALK",
"state": "CT",
"postal_code": "068515727",
"telephone_number": "203-684-2050",
"fax_number": "203-941-1427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVA MD WELLNESS CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-09",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A",
"authorized_official_last_name": "KRSTIC",
"authorized_official_first_name": "JASMINA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-326-0623",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.