New Wave Medical Group PA
NPI 1639816614ActiveOrganization· Clinic/Center· East Haven, CT
Clinic/Center in East Haven, Connecticut, registered in NPPES in May 2022. The authorized official on file is Dalia Elizalde, Manager.
Overview
| NPI | 1639816614 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 19, 2022 |
| Last updated in NPPES | May 19, 2022 |
| Certified by provider | May 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Clinic/Center providers in East Haven
- 1417234451