MIDDLESEX HOSPITAL DBA MIDDLESEX HOSPITAL PHYSICIAN SERVICES -PMA (NPI# 1972563112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972563112 |
| Entity Type | Organization |
| Organization Name | MIDDLESEX HOSPITAL DBA MIDDLESEX HOSPITAL PHYSICIAN SERVICES -PMA |
| Practice Address |
28 Crescent St Middletown CT 06457-3654 |
| Practice Telephone | 8603446394 |
| Practice Fax Number | 8603446748 |
| Mailing Telephone | 8603446394 |
| Mailing Fax Number | 8603446748 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VINCENT G. CAPECE JR. (VICE PRESIDENT FINANCE, TREASURER) |
| Authorized Official Telephone | 8603446394 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| X | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
28 CRESCENT ST |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-3654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790788859 | Eric B Neadel | Physician Assistant | 28 Crescent St, Middletown, CT 06457-3654 | 2005-05-23 |
| 1861001729 | Adrianne Lynn Wyckoff | Registered Nurse | 28 Crescent St, Middletown, CT 06457-3650 | 2020-07-27 |
| 1639791577 | Peder Johnsen | Nurse Practitioner | 28 Crescent St, Middletown, CT 06457-3654 | 2020-05-14 |
| 1275171530 | Lisa Ann Tringali | Recreation Therapist | 28 Crescent St, Middletown, CT 06457-3654 | 2019-12-18 |
| 1528600160 | Antonella Rosa Sferrazza | Counselor | 28 Crescent St, Middletown, CT 06457-3654 | 2019-10-15 |
| 1548801830 | Michael Tammaro | Physician Assistant | 28 Crescent St, Middletown, CT 06457-3654 | 2019-10-08 |
| 1699240705 | Mary Theresa Doyle | Social Worker | 28 Crescent St, Middletown, CT 06457-3650 | 2018-10-05 |
| 1649761040 | Emily Eklof | Nurse Practitioner | 28 Crescent St, Middletown, CT 06457 | 2018-05-22 |
| 1285141077 | Christine O'grady | Social Worker | 28 Crescent St, Middletown, CT 06457-3654 | 2018-01-03 |
| 1871022293 | Jacqueline Mary Atkinson | Physician Assistant | 28 Crescent St, Middletown, CT 06457-3654 | 2017-06-08 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1649780479 | Middlesex Hospital | Internal Medicine | 520 Saybrook Rd Ste N100, Middletown, CT 06457-4741 | 2017-10-06 |
| 1265832190 | Yingna Zhou | Internal Medicine | 14 Jason Pl, Suite 201, Middletown, NY 10940-1094 | 2014-08-28 |
| 1205102654 | Christine Egan Metzing | Internal Medicine | 413 Meadow Lane, Middletown, DE 19709 | 2012-03-30 |
| 1295021962 | Amna Iqbal | Internal Medicine | 8211 Town Brooke, Middletown, CT 06457-6621 | 2011-06-21 |
| 1417248543 | Vital Signs Medical Associates Pllc | Internal Medicine | 450 E Main St Ste 4, Middletown, NY 10940-2578 | 2011-04-23 |
| 1316176118 | Sukhdeep Kaur | Internal Medicine | 120 Highland Ave, Middletown, NY 10940-4713 | 2009-07-14 |
| 1265691364 | Himad Ullah Khan Khattak | Internal Medicine | 103 Mcknight Dr Ste A, Middletown, OH 45044-4891 | 2008-06-03 |
| 1407044860 | Joseph A Solomito Md and Assoc | Internal Medicine | 1030 Summitt Sq, Middletown, OH 45042-3400 | 2007-10-11 |
| 1437364387 | Nkeiruka Eucharia Okoye | Internal Medicine | 501 Atrium Dr, Suite 100, Middletown, OH 45005 | 2007-05-14 |
| 1972717395 | Njeri Thande | Internal Medicine | 420 Saybrook Rd Ste A, Middletown, CT 06457-4747 | 2007-05-09 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on MIDDLESEX HOSPITAL DBA MIDDLESEX HOSPITAL PHYSICIAN SERVICES -PMA.
| 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.