Middlesex Hospital

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MIDDLESEX HOSPITAL

Doing business as

Middlesex Hospital Homecare and Hospice

Practice address

117 Main Street Ext
Middletown, CT 06457-3849

Phone

(860) 358-5600

Fax

(860) 358-5723

NPI assigned

May 1, 2006

Last updated

Mar 23, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

MIDDLESEX HOSPITALAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Allison Dowe

Title

Director of Finance

Phone

(860) 358-5730

Specialties & licenses 1

Addresses

Other names 1

• Middlesex Hospital Homecare and Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003873233. Details of each certification follow.

• CCN 071522A Hospice · Details

Hospice certification: CCN 071522A

Legal name

MIDDLESEX HOSPITAL

Doing business as

MIDDLESEX HEALTH CARE AT HOME & HOSPICE PROGRAM

Organization structure

CorporationNon-profit

Incorporated

Jun 26, 1895 in CT

Enrollment address

117 Main Street Ext
Middletown, CT 06457-3849

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Middlesex Hospital

  dba Middlesex Hospital Homecare

  • Home Health Agency
  • Middletown, CT
  • NPI 1194781328

  5092611731

  Same PAC ID
• Middlesex Hospital

  dba Middlesex Hospital Ambulance Service

  • Land Ambulance
  • Middletown, CT
  • NPI 1710370390

  5092611731

  Same PAC ID
• Middlesex Hospital

  dba Middlesex Hospital dba Middlesex Hospital Psychiatric Physician Servic

  • Psychiatry Physician
  • Middletown, CT
  • NPI 1760451041

  5092611731

  Same PAC ID
• Middlesex Hospital

  • General Acute Care Hospital
  • Middletown, CT
  • NPI 1760454334

  5092611731

  Same PAC ID
• Middlesex Hospital

  dba Middlesex Hospital dba Family Practice Group

  • Family Medicine Physician
  • Middletown, CT
  • NPI 1851350664

  5092611731

  Same PAC ID
• Middlesex Hospital

  dba Middlesex Hospital dba Middlesex Hospital Physician Services

  • Family Nurse Practitioner
  • Middletown, CT
  • NPI 1972563138

  5092611731

  Same PAC ID

Part of

Office of Prof Services

Locations (25 of 43)

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Jonathan D Levine, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Middletown, CT
  • NPI 1649200064

  Corporate Director, Corporate Officer

  CMS ownership
• Mark David Lorenze, M.D.

  • Orthopaedic Surgery Physician
  • Essex, CT
  • NPI 1336107176

  Corporate Director, Corporate Officer

  CMS ownership

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Middlesex Hospital

  dba Middlesex Hospital Homecare

  • Home Health Agency
  • Middletown, CT
  • NPI 1194781328

  Operational/Managerial Control

  CMS ownership

Practitioners 489

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yadira E. Acevedo, MD

  • Family Medicine Physician
  • Portland, CT
  • NPI 1093991077
  NPD
• Courtney Paige Ackley, LCSW

  • Clinical Social Worker
  • East Hartford, CT
  • NPI 1518340553
  NPD
• Jamie Adametz

  • Marriage & Family Therapist
  • New Britain, CT
  • NPI 1750824157
  NPD
• Oluwaseun Adekanye, M.D.

  • Pediatrics Physician
  • Shelton, CT
  • NPI 1578843116
  NPD
• Ashish Adlakha, MD

  • Neurology Physician
  • Farmington, CT
  • NPI 1639344120
  NPD
• James K Ahern, M.D.

  • Family Medicine Physician
  • Ridgefield, CT
  • NPI 1356385868
  NPD
• David Irving Allyn, PA-C

  • Physician Assistant
  • West Haven, CT
  • NPI 1912321803
  NPD
• Lawrence Arky, MD

  • Obstetrics & Gynecology Physician
  • Manchester, CT
  • NPI 1124122338
  NPD
• Jacqueline Mary Atkinson, PA-C

  • Medical Physician Assistant
  • Middletown, CT
  • NPI 1871022293
  NPD
• Ricky Ayala

  • Hospitalist Physician
  • Hartford, CT
  • NPI 1407387715
  NPD
• Monica Marie Backiel, FNP-C

  • Family Nurse Practitioner
  • Wethersfield, CT
  • NPI 1871925487
  NPD
• Katarzyna Badzinska, MD

  • Internal Medicine Physician
  • Farmington, CT
  • NPI 1588245765
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1003873233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 SAYBROOK RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574739",
            "telephone_number": "860-358-5730",
            "fax_number": "860-358-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MAIN STREET EXT",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573849",
            "telephone_number": "860-358-5600",
            "fax_number": "860-358-5723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Saybrook Rd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "CT",
            "postal_code": "064574739",
            "country_code": "US",
            "telephone_number": "860-358-5730",
            "fax_number": "860-358-5723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDDLESEX HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDDLESEX HOSPITAL",
        "enumeration_date": "2006-05-01",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "DOWE",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "860-358-5730"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middlesex Hospital Homecare and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Middlesex Eye Physicians, P.C.
• Middlesex Gastroenterology Associates, LLC
• Middlesex Health Services, Inc. (One MacDonough Place Assisted Living Community)
• Middlesex Heart Institute (The Heart Center)
• Middlesex Hosp Dba Thoracic Surg/OBGYN Onocology
• Middlesex Hospital (Middlesex Hospital Specialty Pharmacy)
• Middlesex Hospital (Middlesex Hospital Homecare)
• Middlesex Hospital (Middlesex Hospital dba Middlesex Hospital Physician Services)
• Middlesex Hospital (Middlesex Hosp dba Compcare & Occupational Medicine)
• Middlesex Hospital (Middlesex Hospital Ambulance Service)

• Community Based Hospice Care Agency in Middletown, CT
• Providers in Middletown, CT by specialty
• Community Based Hospice Care Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.