MIDDLESEX DIABETES & ENDOCRINOLOGY (NPI# 1538469499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538469499 |
| Entity Type | Organization |
| Organization Name | MIDDLESEX DIABETES & ENDOCRINOLOGY |
| Practice Address |
540 Saybrook Rd Suite 150 Middletown CT 06457-4711 |
| Practice Telephone | 8603463308 |
| Practice Fax Number | 8603463349 |
| Mailing Telephone | 8603463308 |
| Mailing Fax Number | 8603463349 |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |
| Authorized Official Name | KORT CHRISTOPHER KNUDSON (PRESIDENT/DIRECTOR) |
| Authorized Official Telephone | 8603463308 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
020696 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
540 SAYBROOK RD SUITE 150 |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-4711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649278540 | Kyle R Brown | Physician Assistant | 540 Saybrook Rd, Suite 160, Middletown, CT 06457-4711 | 2005-07-13 |
| 1982173787 | Joan Perkins | Social Worker | 540 Saybrook Rd, Middletown, CT 06457-4711 | 2018-11-21 |
| 1366968182 | Mhs Primary Care Inc | Social Worker | 540 Saybrook Rd, Middletown, CT 06457-4711 | 2017-08-15 |
| 1861828758 | Patricia M O'brien | Nurse Practitioner | 540 Saybrook Rd, Middletown, CT 06457-4711 | 2013-09-24 |
| 1659647188 | Amanda Jean Kost | Internal Medicine | 540 Saybrook Rd, Middletown, CT 06457-4711 | 2012-03-29 |
| 1700060068 | Elizabeth Jane Northrop | Pediatrics | 540 Saybrook Rd, Suite 100, Middletown, CT 06457-4711 | 2007-12-21 |
| 1164549341 | Ann-marie Williams | Physician Assistant | 540 Saybrook Rd, Suite 210, Middletown, CT 06457-4711 | 2007-03-23 |
| 1104920388 | Kenneth L Eckhart | Obstetrics & Gynecology | 540 Saybrook Rd, Middletown, CT 06457-4711 | 2006-09-11 |
| 1013011295 | Sally J Irons | Obstetrics & Gynecology | 540 Saybrook Rd, Middletown, CT 06457 | 2006-09-11 |
| 1740384924 | Fred S Siegel | Obstetrics & Gynecology | 540 Saybrook Rd, Middletown, CT 06457-4711 | 2006-09-11 |
| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035546 | Martin E Kodish | Internal Medicine | 1000 Middle St, Mc1b, Middletown, CT 06457-7527 | 2005-07-01 |
| 1568857415 | Mohamed Sayed Mohamed Ali | Internal Medicine | 707 E Main St, Middletown, NY 10940-2650 | 2015-03-30 |
| 1992148878 | Padma Raghavan Pillai | Internal Medicine | 111 Maltese Dr, Middletown, NY 10940-2115 | 2013-04-10 |
| 1689912669 | Quang V Ton | Internal Medicine | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2013-01-25 |
| 1598078883 | Jennie Luna | Internal Medicine | 111 Maltese Dr, Middletown, NY 10940-2115 | 2010-07-15 |
| 1588838809 | Florence Intia Celzo-vista | Internal Medicine | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2008-04-17 |
| 1013000629 | Peggy Nelson | Internal Medicine | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2006-10-02 |
| 1811934987 | Scott T Hines | Internal Medicine | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2006-05-31 |
| 1578519740 | Elliott Theodore Friedman | Internal Medicine | 111 Maltese Dr, Middletown, NY 10940-2115 | 2006-05-26 |
| 1700868940 | Laily Mahoozi | Internal Medicine | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2005-11-15 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on MIDDLESEX DIABETES & ENDOCRINOLOGY.
| 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.