Middlesex Hospital
Organization Active NPI Internal Medicine Physician · Westbrook, CT
NPI 1063937860 · NPPES record last updated Jul 22, 2019
Key facts
- NPI
- 1063937860
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- MIDDLESEX HOSPITAL
- Practice address
- Physician Office One
250 Flat Rock Place
Westbrook, CT 06498-1565 - Phone
- (860) 358-3640
- Fax
- (860) 358-8656
- NPI assigned
- Aug 14, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- MIDDLESEX HOSPITAL
Authorized official
- Name
- Vincent G Capece, CEO
- Title
- Ceo
- Phone
- (860) 358-6150
Corporate family (same tax ID) 15
National Provider Directory
- Tax ID family
- Middlesex Hospital Dba Middlesex Hospital Physician Services
- Part of
- Middlesex Hospital Dba Middlesex Hospital Physician Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | CT | Yes | |
| Critical Care Medicine (Internal Medicine) Physician |
207RC0200X | CT | ||
| Endocrinology, Diabetes & Metabolism Physician |
207RE0101X | CT | ||
| Infectious Disease Physician |
207RI0200X | CT | ||
| Pulmonary Disease Physician |
207RP1001X | CT | ||
| Rheumatology Physician |
207RR0500X | CT | ||
| Neurology Physician |
2084N0400X | CT | ||
| Nurse Practitioner |
363L00000X | CT | ||
| Acute Care Nurse Practitioner |
363LA2100X | CT | ||
| Adult Health Nurse Practitioner |
363LA2200X | CT | ||
| Family Nurse Practitioner |
363LF0000X | CT |
Addresses
Primary practice location
Physician Office One
250 Flat Rock Place
Westbrook, CT 06498-1565
Mailing address
28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-6394
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004121125 | Medicaid | CT |
Other names
- Middlesex Hospital dba Middlesex Hospital Physician Services
Other providers in Westbrook, CT
- William Mattison
- Andrea Matunas
- Kenneth James McNeil
- MHS Primary Care Inc.
- MHS Primary Care, Inc.
- Middlesex Orthopedic Surgeons,P.C.
- Ellen Marie Morris-White
- Kelly Keefe Nelson
- Lauren Hart Nichols
- Andrea Marie Niziolek
All providers in Westbrook, CT · Internal Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.