Organization Active NPI

Privia Virtual Health - Connecticut PLLC

  • Internal Medicine Physician
  • North Haven, CT
National Provider Identifier
1922838507
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIVIA VIRTUAL HEALTH - CONNECTICUT PLLC
Practice address
116 Washington Ave Ste 3
North Haven, CT 06473-1721
Phone
(484) 569-9066
NPI assigned
Aug 7, 2024
Last updated
Aug 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Maria Gabbai
Title
Director
Phone
(484) 569-9066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

116 Washington Ave Ste 3
North Haven, CT 06473-1721

Mailing address

950 N Glebe Rd Ste 700
Arlington, VA 22203-4173
Phone (484) 569-9066

National Provider Directory

National Provider Directory

Locations

116 Washington Ave
Ste 3
North Haven, CT 06473
Phone (484) 569-9066

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1922838507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N GLEBE RD STE 700",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222034173",
            "telephone_number": "484-569-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 WASHINGTON AVE STE 3",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731721",
            "telephone_number": "484-569-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVIA VIRTUAL HEALTH - CONNECTICUT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "GABBAI",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "484-569-9066"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.