JONATHAN MITTELMAN (NPI# 1447297619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447297619 |
Entity Type | Individual |
Full Name | JONATHAN MITTELMAN |
Credential | MD |
Practice Address |
534 Saybrook Rd Middletown CT 06457-4754 |
Practice Telephone | 8603446394 |
Practice Fax Number | 8603446748 |
Mailing Telephone | 8603446394 |
Mailing Fax Number | 8603446748 |
Enumeration Date | 2006-05-31 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
037352 | CT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | CT LIC # | 037352 | 01 |
Street Address |
534 SAYBROOK RD |
City | MIDDLETOWN |
State | CT |
Zip Code | 06457-4754 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689634826 | Middlesex Hospital | Preventive Medicine | 534 Saybrook Rd, Middletown, CT 06457-4754 | 2006-03-23 |
1982211199 | Marissa Louise Goodnight | Nurse Practitioner | 534 Saybrook Rd, Middletown, CT 06457-4754 | 2020-09-30 |
1497223739 | Rachel Kaunas | Dietitian, Registered | 534 Saybrook Rd, Middletown, CT 06457-4754 | 2018-11-05 |
1952585762 | Matthew Lundquist | Preventive Medicine | 534 Saybrook Rd, Middlesex Hospital Occupational Medicine, Middletown, CT 06457-4754 | 2007-12-28 |
1225232341 | Diana Marie Sadler | Occupational Therapist | 534 Saybrook Rd, Middletown, CT 06457-4754 | 2007-06-13 |
1073684148 | Michelle B Mayer | Physical Therapist | 534 Saybrook Rd, Middletown, CT 06457-4754 | 2006-11-12 |
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 | 2083X0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Occupational Medicine |
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275656159 | John Michael Rutan Jr. | Preventive Medicine | 1801 Crawford St, Middletown, OH 45043-0001 | 2007-04-07 |
1689634826 | Middlesex Hospital | Preventive Medicine | 534 Saybrook Rd, Middletown, CT 06457-4754 | 2006-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831620749 | Walter Joseph Wiechetek | Preventive Medicine | 1981 Chamberlain Hwy, Kensington, CT 06037-3908 | 2017-03-22 |
1801340955 | Paul Healey Sr. | Preventive Medicine | 108 Somersett Dr, Mystic, CT 06355-2152 | 2016-08-06 |
1093946311 | Robert Emmett Bonner | Preventive Medicine | 690 Asylum Ave, T9-106, Hartford, CT 06115 | 2009-08-04 |
1588846695 | Rivka Sima Horowitz | Preventive Medicine | 3 Mulberry Ln, Niantic, CT 06357-1255 | 2007-11-30 |
1013941871 | Robert P Hurley | Preventive Medicine | 75 Eastern Point Rd, Department 644, Station A97-1, Groton, CT 06340-4905 | 2006-07-10 |
1851340046 | George W Moore | Preventive Medicine | 96 Martin Ter, Glastonbury, CT 06033-2708 | 2006-05-08 |
1821535170 | Flushot LLC | Preventive Medicine | 40 Prospect Ave, Building 2-2f, Norwalk, CT 06850-3737 | 2017-01-25 |
1386955060 | Todd Glen Hastings | Preventive Medicine | 1 Wahoo Ave # 600, Groton, CT 06349-2324 | 2010-06-28 |
1144458092 | Daniel T Stopka | Preventive Medicine | 20 York St, Yale New Haven Hospital, New Haven, CT 06510-3220 | 2009-06-30 |
1144489923 | Sandra Bertaccini | Preventive Medicine | 8 S Commons Rd, Waterbury, CT 06704-1035 | 2008-06-05 |
Find all providers with the same taxonomy |
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.