MIDDLESEX HOSPITAL (NPI# 1851350664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851350664 |
| Entity Type | Organization |
| Organization Name | MIDDLESEX HOSPITAL |
| Other Organization Name | MIDDLESEX HOSPITAL DBA FAMILY PRACTICE GROUP |
| Practice Address |
90 S Main St Middletown CT 06457-3649 |
| Practice Telephone | 8603586394 |
| Practice Fax Number | 8603586748 |
| Mailing Telephone | 8603586394 |
| Mailing Fax Number | 8603586748 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | VINCENT G. CAPECE JR. (CEO) |
| Authorized Official Telephone | 8603586110 |
| Is Organization Subpart | Y |
| Parent Organization Name | MIDDLESEX HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
CT | Allopathic & Osteopathic Physicians | |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | CT | Allopathic & Osteopathic Physicians | |
| N | 208000000X | Pediatrics | CT | Allopathic & Osteopathic Physicians | |
| N | 363L00000X | Nurse Practitioner | CT | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
CT | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
CT | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
CT | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 367A00000X | Advanced Practice Midwife | NURSE MIDWIFE | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367A00000X | Advanced Practice Midwife | CT | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207Q00000X | Family Medicine | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | RR MEDICARE | CC6526 | 01 |
| Other Name | Type Code |
|---|---|
| Middlesex Hospital dba Family Practice Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649780479 | Middlesex Hospital | Internal Medicine | 520 Saybrook Rd Ste N100, Middletown, CT 06457-4741 | 2017-10-06 |
| 1689634826 | Middlesex Hospital | Preventive Medicine | 534 Saybrook Rd, Middletown, CT 06457-4754 | 2006-03-23 |
| 1194243097 | Middlesex Hospital | Internal Medicine | 154 Main St, Old Saybrook, CT 06475-2373 | 2017-08-31 |
| 1063937860 | Middlesex Hospital | Internal Medicine | Physician Office One, 250 Flat Rock Place, Westbrook, CT 06498-1565 | 2017-08-14 |
| 1710370390 | Middlesex Hospital | Ambulance | 28 Crescent St, Middletown, CT 06457-3654 | 2015-03-06 |
| 1083914907 | Middlesex Hospital | Physician Assistant | 192 Westbrook Rd, Essex, CT 06426-1556 | 2010-10-26 |
| 1982652343 | Middlesex Hospital | Psychiatric Unit | 28 Crescent St, Middletown, CT 06457-3654 | 2006-05-05 |
| 1003873233 | Middlesex Hospital | Hospice Care, Community Based | 770 Saybrook Rd, Middletown, CT 06457-4739 | 2006-05-01 |
| 1194781328 | Middlesex Hospital | Home Health Aide | 770 Saybrook Rd, Middletown, CT 06457-4739 | 2006-04-25 |
| 1972563138 | Middlesex Hospital | Emergency Medicine | 80 S Main St, Middletown, CT 06457-3648 | 2006-03-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | MIDDLESEX HOSPITAL | |
| System for Award Management (SAM) Entities | MIDDLESEX HOSPITAL FOUNDATION, INC. | 28 Crescent St, Middletown, CT 06457-3654 |
| Connecticut Business Registrations | MIDDLESEX HOSPITAL FOUNDATION, INC. | C/o Middlesex Health System, Inc., 28 Crescent St, Middletown, CT 06457 |
| System for Award Management (SAM) Entities | MIDDLESEX HOSPITAL PRIMARY CARE | 28 Crescent St, Middletown, CT 06457-3654 |
| Street Address |
90 S MAIN ST |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-3649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639799547 | Agata Katarzyna Harabasz | Student in an Organized Health Care Education/Training Program | 90 S Main St, Middletown, CT 06457-3649 | 2020-04-21 |
| 1053931972 | Danielle Chevelle Hagglund | Student in an Organized Health Care Education/Training Program | 90 S Main St, Middletown, CT 06457-3649 | 2020-04-21 |
| 1861012783 | Erin Joy Bullough | Student in an Organized Health Care Education/Training Program | 90 S Main St, Middletown, CT 06457-3649 | 2020-04-21 |
| 1205456118 | Morgan Randall Pratt | Student in an Organized Health Care Education/Training Program | 90 S Main St, Middletown, CT 06457-3649 | 2020-04-21 |
| 1386264299 | Samantha Therese Morr | Student in an Organized Health Care Education/Training Program | 90 S Main St, Middletown, CT 06457-3649 | 2020-04-21 |
| 1093335903 | Nicholas Alexander Read | Student in an Organized Health Care Education/Training Program | 90 S Main St, Middletown, CT 06457-3649 | 2020-04-21 |
| 1063032977 | Alina Kluk | Student in an Organized Health Care Education/Training Program | 90 S Main St, Middletown, CT 06457-3649 | 2020-04-21 |
| 1033773569 | Joshua M Jones | Student in an Organized Health Care Education/Training Program | 90 S Main St, Middletown, CT 06457-3649 | 2019-04-30 |
| 1285298992 | Sona Manoj Sadselia | Student in an Organized Health Care Education/Training Program | 90 S Main St, Middletown, CT 06457-3649 | 2019-04-29 |
| 1104480821 | Alison Carini | Student in an Organized Health Care Education/Training Program | 90 S Main St, Middletown, CT 06457-3649 | 2019-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| 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 |
|---|---|---|---|---|
| 1932748746 | Khalilah Williams-perry | Family Medicine | 20 Tammy Dr, Middletown, NY 10941-2052 | 2019-12-26 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1841787652 | Southcoast Physicians Group, Inc. | Family Medicine | 670 Aquidneck Avenue, Middletown, RI 02841 | 2018-04-17 |
| 1952832164 | Emmet Theodore Fenichel | Family Medicine | 18 Leonardville Rd, Middletown, NJ 07748-2311 | 2017-03-21 |
| 1346604774 | Austin James Williams | Family Medicine | 6147 State Route 122, Ste 200, Middletown, OH 45005-5201 | 2016-04-12 |
| 1174965412 | Home Medical Office, P.C. | Family Medicine | 18 Orchard St Ste 100, Middletown, NY 10940-5005 | 2013-07-29 |
| 1801121991 | Pamela Jean Hanson | Family Medicine | 4421 Roosevelt Blvd Ste A, Middletown, OH 45044-9024 | 2009-10-07 |
| 1053542068 | Jenny Q. Lu, M.d., Pllc | Family Medicine | 75 Crystal Run Rd Ste 105, Middletown, NY 10941-7003 | 2009-08-07 |
| 1396974556 | Mvhe Inc | Family Medicine | 253 N Breiel Blvd, Middletown, OH 45042-3807 | 2009-07-09 |
| 1073794665 | Zoila Cartaya | Family Medicine | 345 Stony Ford Rd, Middletown, NY 10941-3952 | 2007-11-25 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
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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.