Nova MD Wellness Clinic PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NOVA MD WELLNESS CLINIC PLLC

Practice address

148 East Avenue 1G1
Norwalk, CT 06851

Phone

(203) 684-2050

NPI assigned

Dec 26, 2023

Last updated

Dec 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jasmina Krstic, MDNPI 1801118252

Title

MD

Phone

(347) 326-0623

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jasmina Krstic, M.D.

  • Internal Medicine Physician
  • Stamford, CT
  • NPI 1801118252
  NPD (past) Authorized official

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1790554285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 EAST AVENUE 1G1",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "06851",
            "telephone_number": "347-326-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 EAST AVENUE 1G1",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "06851",
            "telephone_number": "203-684-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA MD WELLNESS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "KRSTIC",
        "authorized_official_first_name": "JASMINA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "347-326-0623",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norwalk Surgery Center, LLC
• Norwalk Taxi Inc (Norwalk taxi)
• Norwalk Vision Center LLC (The Norwalk Vision Center)
• Notre Dame Convalescent Home Inc
• Nova MD Wellness Clinic PLLC
• Stuart N. Novack, M.D.
• John Anthony Novella
• Robert A Novelly, PH.D.
• Novimed LLC
• NRM Medical LLC

• Internal Medicine Physician in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.