Organization Active NPI

Personic Connecticut PLLC

  • Wound Care Registered Nurse
  • Shelton, CT
National Provider Identifier
1285529453
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
PERSONIC CONNECTICUT PLLC
Practice address
1 Reservoir Corporate Ctr Ste 402
Shelton, CT 06484-6214
Phone
(251) 901-3011
NPI assigned
Jun 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Syed NaqviNPI 1649624602
Title
Owner
Phone
(251) 901-3011

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)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X Primary

Addresses

Primary practice location

1 Reservoir Corporate Ctr Ste 402
Shelton, CT 06484-6214

Mailing address

PO Box 8209
Vienna, VA 22183-2058
Phone (251) 901-3011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250701003757 CT Part B Supplier - Clinic/Group Practice 6305359464 Receives reassigned benefits from 3 practitioners
Practice locations: Shelton, CT

National Provider Directory

National Provider Directory

Locations

1 Reservoir Corporate Ctr
Ste 402
Shelton, CT 06484
Phone (203) 509-0936

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1285529453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8209",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221832058",
            "telephone_number": "251-901-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RESERVOIR CORPORATE CTR STE 402",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846214",
            "telephone_number": "251-901-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONIC CONNECTICUT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "NAQVI",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-901-3011"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.