MIDDLETOWN MEDICAL PC (NPI# 1598162067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598162067 |
| Entity Type | Organization |
| Organization Name | MIDDLETOWN MEDICAL PC |
| Practice Address |
78 Brookside Ave Suite 143 Chester NY 10918-1059 |
| Mailing Address |
111 Maltese Dr Middletown NY 10940-2115 |
| Practice Telephone | 8454692692 |
| Mailing Telephone | 8453424774 |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |
| Authorized Official Name | MELISSA PHILLIPS (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 8453444803 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972026359 | Middletown Medical PC | Clinic/Center | 111 Maltese Dr Ste 302, Middletown, NY 10940-2115 | 2017-07-18 |
| 1134526601 | Middletown Medical PC | Orthopaedic Surgery | 35 Maltese Dr, Middletown, NY 10940-2109 | 2014-12-01 |
| 1932622313 | Middletown Medical PC | Internal Medicine | 518 Broadway, Monticello, NY 12701-1154 | 2017-07-18 |
| 1790227536 | Middletown Medical PC | Clinic/Center | 111 Maltese Dr, Middletown, NY 10940-2115 | 2016-11-10 |
| 1225435795 | Middletown Medical PC | Specialist | 1219 Dolsontown Rd, Middletown, NY 10940-4749 | 2014-12-01 |
| 1902855828 | Middletown Medical PC | Psychiatry & Neurology | 111 Maltese Dr, Middletown, NY 10940-2115 | 2006-05-08 |
| Street Address |
78 BROOKSIDE AVE SUITE 143 |
| City | CHESTER |
| State | NY |
| Zip Code | 10918-1059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235244013 | Shoprite Supermarkets, Inc | Pharmacy | 78 Brookside Ave, Chester, NY 10918-1059 | 2006-08-20 |
| 1821427501 | Danielle Janiak | Pharmacist | 78 Brookside Ave, Chester, NY 10918-1059 | 2013-11-04 |
| 1124331913 | Patricia A Lardner | Pharmacist | 78 Brookside Ave, Chester, NY 10918-1059 | 2010-07-21 |
| 1740503713 | Gilbert Goetz | Pharmacist | 78 Brookside Ave, Chester, NY 10918-1059 | 2010-03-05 |
| 1497910657 | Sukhadevan Rampam | Pharmacist | 78 Brookside Ave, Suite 122, Chester, NY 10918-1059 | 2008-07-26 |
| 1720243215 | Miyoung Kim | Pharmacist | 78 Brookside Ave, Chester, NY 10918 | 2008-07-23 |
| 1457415119 | The Medical Store, Inc. | Durable Medical Equipment & Medical Supplies | 78 Brookside Ave, Suite 139, Chester, NY 10918-1059 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649765546 | Celeste Mcateer | Occupational Therapy Assistant | 1405 Kings Highway, Chester, NY 10918 | 2018-06-25 |
| 1134631336 | Beatrice Osei Kwanin | Licensed Practical Nurse | 515 Knollcerst Ln, Chester, NY 10918 | 2017-10-27 |
| 1124541495 | Jayne Stephanie Polokoff | Social Worker | 837 Craigville Road, Chester, NY 10918 | 2017-07-19 |
| 1689025967 | Jacqueline Perez | Specialist | 4507 Whispering Hills, Chester, NY 10918 | 2016-06-28 |
| 1639541311 | Deeann Nancy Snyder | Specialist | 16 Primrose Ln, Chester, NY 10918 | 2015-10-21 |
| 1447515028 | Lauren Nicola Pallay | Case Manager/Care Coordinator | 1751 Rte 17a, Florida, NY 10918 | 2012-07-10 |
| 1043589674 | Laurel A Dillon | Occupational Therapy Assistant | 47 Goshen Road, Chester, NY 10918 | 2011-12-28 |
| 1427327758 | Sadie E Mitchell | Registered Nurse | 1910 Whisperhing Hills Place, Chester, NY 10918 | 2011-12-15 |
| 1477839652 | Jane Ruth Pierce | Social Worker | 64 Hambletonian Rd, Chester, NY 10918 | 2011-11-01 |
| 1447573548 | Kelly Carroll | Pharmacist | 105 Pine Hollow Way, Chester, NY 10918 | 2010-03-04 |
| Find all providers in zip 10918 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1629469002 | Memorial Hospital | Family Medicine | 2319 Old Plank Road, Chester, IL 62233-1116 | 2015-02-06 |
| 1376945626 | Bon Secours St. Francis Medical Center, Inc. | Family Medicine | 12340 Bermuda Crossroad Ln, Chester, VA 23831-2352 | 2014-09-18 |
| 1962845016 | Luisa M Caparoula | Family Medicine | 12254 Branders Creek Dr, Chester, VA 23831-1626 | 2013-04-08 |
| 1801173141 | Bon Secours - St. Francis Medical Center LLC | Family Medicine | 11601 Iron Bridge Rd Ste 117, Chester, VA 23831-1467 | 2011-11-15 |
| 1487986287 | Richard Davis Brown | Family Medicine | 128 Kirwans Landing Ln, Chester, MD 21619 | 2010-02-03 |
| 1477781995 | Shervon Pierre | Family Medicine | 115 Cestrain Sq, Chester, SC 29706-1979 | 2009-06-23 |
| 1457506792 | Charu Gupta | Family Medicine | 2 North Road, Chester, NJ 07094-1826 | 2008-12-01 |
| 1669639969 | Alison Lewis | Family Medicine | 530 Main St Ste 4a, Chester, NJ 07930-2669 | 2008-05-22 |
| 1063683688 | Lorraine D Robertson | Family Medicine | 21 Brown Ct, Chester, NJ 07930-2481 | 2008-03-23 |
| Find all providers in CHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.