NPIMap

Organization Active NPI

Ivx Health of Connecticut PC

Doing business as IVX Health

  • Clinic/Center
  • Glastonbury, CT
National Provider Identifier
1790421741
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
IVX HEALTH OF CONNECTICUT PC
Doing business as
IVX Health
Practice address
119 Hebron Ave Unit B
Glastonbury, CT 06033-4223
Phone
(860) 996-8117
NPI assigned
May 11, 2022
Last updated
Jun 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
William Seibels
Title
Cfo
Phone
(615) 610-3727

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

119 Hebron Ave Unit B
Glastonbury, CT 06033-4223

Mailing address

214 Centerview Dr Ste 250
Brentwood, TN 37027-3248
Phone (615) 610-3733

Other practice location 1

263 Boston Post Rd Ste 7
Orange, CT 06477-3514
Phone (860) 996-8226

Other practice location 2

596 Westport Ave
Norwalk, CT 06851-4439
Phone (475) 208-2111

Other practice location 3

2533 Albany Ave
West Hartford, CT 06117-2308
Phone (959) 666-8833

Other practice location 4

15 Backus Ave Ste 7
Danbury, CT 06810-7441
Phone (475) 268-8222

Other names 1

  • IVX Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220803002220 CT Part B Supplier - Clinic/Group Practice 1658753967 Receives reassigned benefits from 12 practitioners
Practice locations: Glastonbury, CT; West Hartford, CT; Stamford, CT; Norwalk, CT; Danbury, CT; Orange, CT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2302548Ivx Health of Connecticut, PC119 Hebron Avenue, Unit B, Glastonbury, CT 06033Certificate of waiverApr 10, 2028
07D2312522Ivx Health of Connecticut, PC2533 Albany Ave, West Hartford, CT 06117Certificate of waiverOct 14, 2026
07D2313212Ivx Health of Connecticut, PC - Danbury15 Backus Avenue, Danbury, CT 06810Certificate of waiverOct 27, 2026

National Provider Directory

National Provider Directory

Locations

15 Backus Ave
Ste 7
Danbury, CT 06810
Phone (475) 268-8222

119 Hebron Ave
#B
Glastonbury, CT 06033
Phone (860) 996-8117

263 Boston Post Rd
Ste 7
Orange, CT 06477
Phone (860) 996-8226

575 Newfield Ave
Stamford, CT 06905
Phone (475) 777-3110

2533 Albany Ave
West Hartford, CT 06117
Phone (959) 666-8833

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1790421741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 CENTERVIEW DR STE 250",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273248",
            "telephone_number": "615-610-3733",
            "fax_number": "844-206-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 HEBRON AVE UNIT B",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334223",
            "telephone_number": "860-996-8117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Boston Post Rd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CT",
            "postal_code": "064773514",
            "country_code": "US",
            "telephone_number": "860-996-8226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "596 Westport Ave",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068514439",
            "country_code": "US",
            "telephone_number": "475-208-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2533 Albany Ave",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061172308",
            "country_code": "US",
            "telephone_number": "959-666-8833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Backus Ave Ste 7",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068107441",
            "country_code": "US",
            "telephone_number": "475-268-8222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IVX HEALTH OF CONNECTICUT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "SEIBELS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-610-3727"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVX Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IVX Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.

Verify at the official NPI Registry.