Premise Health of Connecticut Medical, P.C.
NPI 1598054793 · Primary Care Clinic/Center · Manassas, VA
Premise Health of Connecticut Medical, P.C. is a Primary Care Clinic/Center organization in Manassas, VA (NPI 1598054793).
Provider details
- NPI number
- 1598054793
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jon Leizman, President(216) 479-9063
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Mtv Health Center
- Doing business as
- Mtv Health Center
Registry dates
- Enumerated
- 2011-03-29
- Last updated
- 2022-08-15
- Certified
- 2022-08-15
Frequently asked questions
- What is Premise Health of Connecticut Medical, P.C.'s NPI number?
- Premise Health of Connecticut Medical, P.C.'s National Provider Identifier (NPI) is 1598054793, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premise Health of Connecticut Medical, P.C.?
- Premise Health of Connecticut Medical, P.C. is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Premise Health of Connecticut Medical, P.C. located?
- Premise Health of Connecticut Medical, P.C.'s practice location on file with NPPES is 9600 Godwin Dr, Manassas, VA 20110-4162.
- What is Premise Health of Connecticut Medical, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Premise Health of Connecticut Medical, P.C. is (703) 396-1067.
- Who is the authorized official for Premise Health of Connecticut Medical, P.C.?
- The authorized official listed on Premise Health of Connecticut Medical, P.C.'s NPPES record is Jon Leizman, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premise Health of Connecticut Medical, P.C.'s NPI active?
- Yes — Premise Health of Connecticut Medical, P.C.'s NPI (1598054793) is active in the NPPES registry as of the last update on 2022-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.