MIDDLESEX HOSPITAL (NPI# 1972563138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972563138 |
| Entity Type | Organization |
| Organization Name | MIDDLESEX HOSPITAL |
| Other Organization Name | MIDDLESEX HOSPITAL DBA MIDDLESEX HOSPITAL PHYSICIAN SERVICES |
| Practice Address |
80 S Main St Middletown CT 06457-3648 |
| Practice Telephone | 8603586394 |
| Practice Fax Number | 8603586094 |
| Mailing Telephone | 8603586394 |
| Mailing Fax Number | 8603586094 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2019-04-03 |
| Authorized Official Name | VINCENT G. CAPECE JR. (CEO) |
| Authorized Official Telephone | 8603586140 |
| Is Organization Subpart | Y |
| Parent Organization Name | MIDDLESEX HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | CT | Allopathic & Osteopathic Physicians | |
| N | 207Q00000X | Family Medicine | CT | Allopathic & Osteopathic Physicians | |
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
53426 | CT | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | CT | Allopathic & Osteopathic Physicians | |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
CT | Allopathic & Osteopathic Physicians | |
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
CT | Allopathic & Osteopathic Physicians | |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
CT | Allopathic & Osteopathic Physicians | |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
CT | Allopathic & Osteopathic Physicians | |
| N | 208M00000X | Hospitalist | CT | Allopathic & Osteopathic Physicians | |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
CT | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363L00000X | Nurse Practitioner | 001743 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
CT | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
CT | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | RR MEDICARE | CK1085 | 01 |
| CT | 004121125 | 05 |
| Other Name | Type Code |
|---|---|
| Middlesex Hospital dba Middlesex Hospital Physician Services | 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 |
| 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 |
80 S MAIN ST |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-3648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215934286 | Donald Stuart Levine | Internal Medicine | 80 S Main St, Middletown, CT 06457-3648 | 2005-07-05 |
| 1861888208 | We Create Smiles II, LLC | Durable Medical Equipment & Medical Supplies | 80 S Main St, Unit 203, Middletown, CT 06457-3648 | 2015-04-13 |
| 1932544475 | Ricardo Javier Perez | Internal Medicine | 80 S Main St, Middletown, CT 06457-3648 | 2013-05-09 |
| 1013213552 | Christina M Barrows | Registered Nurse | 80 S Main St, Middletown, CT 06457-3648 | 2011-02-01 |
| 1124292966 | Crispin Reynaldo Abarientos | Internal Medicine | 80 S Main St, Middletown, CT 06457-3648 | 2008-04-14 |
| 1578753158 | Alina Filozov | Internal Medicine | 80 S Main St, Middletown, CT 06457-3648 | 2007-07-30 |
| 1134326200 | Nabi Chowdhury | Psychiatry & Neurology | 80 S Main St, Middletown, CT 06457-3648 | 2007-07-02 |
| 1548464530 | Connecticut Spine & Sports Medicine | Physical Therapist | 80 S Main St, Middletown, CT 06457-3648 | 2007-06-13 |
| 1982811667 | Oral and Maxillofacial Surgeons, P.C. | Specialist | 80 S Main St, Middletown, CT 06457-3648 | 2007-05-16 |
| 1841329463 | George E Valentine | Dentist | 80 S Main St, Physician Office Building, Middletown, CT 06457-3648 | 2007-03-02 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072344 | Shante Brady | Nurse Practitioner | 37 Ruth Ct, Middletown, NY 10940-5329 | 2020-10-30 |
| 1932710126 | Miesha Sarah Stokely | Nurse Practitioner | 10 Atwood Dr, Middletown, NY 10940-2539 | 2020-08-12 |
| 1801413919 | Stacey Ward | Nurse Practitioner | 1055 Summit Dr., Middletown, OH 45042 | 2020-07-06 |
| 1316563869 | Alexa Rae Steenbruggen | Nurse Practitioner | 8 Gossets Turn Dr, Middletown, RI 02842-7900 | 2020-06-21 |
| 1942832472 | Courtney Killin | Nurse Practitioner | 506 Gladys Dr, Middletown, OH 45044-4825 | 2020-02-12 |
| 1174085575 | Adenike Yetunde Awotundun | Nurse Practitioner | 1020 N Union St Apt 204, Middletown, PA 17057-2158 | 2019-04-03 |
| 1447722095 | Cheryl Roman | Nurse Practitioner | 15 Southview W, Middletown, NJ 07748-2416 | 2018-12-20 |
| 1083191076 | Johnita Hendricks | Nurse Practitioner | 124 Sleepy Hollow Dr Ste 201, Middletown, DE 19709-5838 | 2018-07-23 |
| 1881146702 | Oluyemisi A Okudele | Nurse Practitioner | 11 Little Cir, Middletown, DE 19709-7956 | 2016-10-26 |
| 1629523816 | Lavinda Mcauliffe | Nurse Practitioner | 6730 Roosevelt Ave Ste 201, Middletown, OH 45005-5730 | 2016-08-17 |
| 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.