Middlesex Laboratory Physicians, LLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

MIDDLESEX LABORATORY PHYSICIANS, LLC

Practice address

28 Crescent St
Middletown, CT 06457-3654

Phone

(860) 358-6160

NPI assigned

Oct 18, 2016

Organization subpart

No

Name

Dr. Jonathan D Levine, M.D.

Title

President

Phone

(860) 358-6160

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 18, 2016.

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1063963791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1613",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065061613",
            "telephone_number": "860-358-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573654",
            "telephone_number": "860-358-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLESEX LABORATORY PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-358-6160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Middlesex Hospital Dba Infant Health Services
• Middlesex Hospital Dba Middlesex Hospital Physician Services
• Middlesex Hospital Dba Middlesex Hospital Physician Services -Pma
• Middlesex Hospital Dba Middlesex Neurology
• Middlesex Hospital Paramedics
• Middlesex Neuropsychiatric Center
• Middlesex Orthopedic Surgeons PC
• Middlesex Orthopedic Surgeons Prof Corp
• Middlesex Plastic Surgery Center,LLC
• Middlesex Rheumatology, LLC

• All providers in Middletown, CT
• Anatomic Pathology & Clinical Pathology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.