MIDDLESEX HOSPITAL (NPI# 1649780479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649780479 |
| Entity Type | Organization |
| Organization Name | MIDDLESEX HOSPITAL |
| Other Organization Name | MIDDLESEX HOSPITAL DBA MIDDLESEX HOSPITAL PHYSICIAN SERVICES |
| Practice Address |
520 Saybrook Rd Ste N100 Middletown CT 06457-4741 |
| Practice Telephone | 8603441801 |
| Practice Fax Number | 8603588657 |
| Mailing Telephone | 8603586394 |
| Mailing Fax Number | 8603586094 |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2019-07-22 |
| Authorized Official Name | VINCENT G CAPECE (CEO) |
| Authorized Official Telephone | 8603586150 |
| Is Organization Subpart | Y |
| Parent Organization Name | MIDDLESEX HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | CT | Allopathic & Osteopathic Physicians | |
| N | 363L00000X | Nurse Practitioner | CT | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
CT | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
CT | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
CT | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Middlesex Hospital dba Middlesex Hospital Physician Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1851350664 | Middlesex Hospital | Family Medicine | 90 S Main St, Middletown, CT 06457-3649 | 2006-03-21 |
| 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 |
520 SAYBROOK RD STE N100 |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-4741 |
| 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 | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1750641601 | Sophia Khan | Internal Medicine | 15 Arden Ct, Middletown, NY 10940-5071 | 2012-05-25 |
| 1750462842 | Abdul Wazed Mahmud | Internal Medicine | 145 South Main Street, Middletown, CT 06457 | 2006-10-17 |
| 1326048224 | Goddard S Lainjo | Internal Medicine | 41 Dolson Ave, Middletown, NY 10940-6489 | 2005-07-21 |
| 1710520853 | Shwu-yn Chang | Internal Medicine | 3100 Schoolhouse Rd, Middletown, PA 17057-3548 | 2019-10-22 |
| 1346583788 | Middlesex Rheumatology, LLC | Internal Medicine | 80 E Main St, Middletown, CT 06457-3840 | 2013-04-04 |
| 1609004209 | Bella Fradlis | Internal Medicine | 707 E Main St, Middletown, NY 10940-2650 | 2009-06-23 |
| 1275789141 | Elena Katzap | Internal Medicine | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2008-08-12 |
| 1457516411 | Tahir Abdullah Khan | Internal Medicine | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2008-07-18 |
| 1124292966 | Crispin Reynaldo Abarientos | Internal Medicine | 80 S Main St, Middletown, CT 06457-3648 | 2008-04-14 |
| 1770776239 | Jenny Margarita Cabas Vargas | Internal Medicine | 707 E Main St, Middletown, NY 10940-2650 | 2007-08-19 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on MIDDLESEX HOSPITAL.
| 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.