Organization Active NPI

Middletown Internal Medicine

  • Internal Medicine Physician
  • Middletown, DE
National Provider Identifier
1043372980
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MIDDLETOWN INTERNAL MEDICINE
Practice address
212 Carter Dr Ste a
Middletown, DE 19709-5837
Phone
(302) 378-4407
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Beth Renzulli, M.D
Title
Physicians
Phone
(302) 378-4407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

212 Carter Dr Ste a
Middletown, DE 19709-5837

Mailing address

212 Carter Dr Ste a
Middletown, DE 19709-5837
Phone (302) 378-4407

National Provider Directory

National Provider Directory

Locations

817 N Broad St
Middletown, DE 19709
Phone (302) 378-4407

817 N Broad St
Middletown, DE 19709
Phone (302) 378-4407

212 Carter Dr
Ste A
Middletown, DE 19709
Phone (302) 378-4407

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1043372980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 CARTER DR STE A",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095837",
            "telephone_number": "302-378-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CARTER DR STE A",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095837",
            "telephone_number": "302-378-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETOWN INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "RENZULLI",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "PHYSICIANS",
        "authorized_official_telephone_number": "302-378-4407",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.